MARYANNE R SAMUEL
Osteopathic Medicine at 17 Pl, Hollywood, FL

License number
Florida 2417
Issued Date
May 14, 2010
Effective Date
Aug 3, 2016
Expiration Date
Jun 30, 2013
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address 2
10754 SW 17Th Pl, Hollywood, FL 33324
2001 W 68Th St STE 202, Hialeah, FL 33016
Phone
(954) 873-5906
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Maryanne Samuel, age 40
10754 SW 17Th Pl, Davie, FL 33324

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