LYDIA T VAN
Physician at Butler Way, Sanford, FL

License number
Florida 15082
Issued Date
May 20, 2010
Effective Date
Jul 27, 2012
Expiration Date
Jun 30, 2012
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
1110 Butler Way, Sanford, FL 32773
201 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone
(202) 378-0512
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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