MARK A THIELE
Physician Assistant at Hoofprint Ct, Fruitland Park, FL

License number
Florida 9103005
Issued Date
Sep 30, 2004
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Category
Health Care
Type
Physician Assistant
Address
Address 2
1706 Hoofprint Ct, Fruitland Park, FL 34731
600 North Blvd W SUITE C, Leesburg, FL 34748
Phone
(352) 728-3000
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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