LEROY E GOODMAN
Medical Practice at Hidden Water Cir, Riverview, FL

License number
Florida 509022
Issued Date
Feb 19, 2005
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
9229 Hidden Water Cir, Riverview, FL 33569
2709 E Hanna Ave, Tampa, FL 33610
Phone
(813) 431-2960
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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