LEE C ROTH
Medical Practice at Riverside Dr, Port Canaveral, FL

License number
Florida 530894
Issued Date
Apr 29, 2010
Effective Date
Jul 6, 2015
Expiration Date
Dec 1, 2014
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
101 Riverside Dr, Port Canaveral, FL 32920
1040 S Florida Ave, Viera, FL 32955
Phone
(321) 544-6374
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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