MICHAEL C FADDOUL
Physician Assistant at Stacy Ln, New Smyrna, FL

License number
Florida 9109605
Issued Date
Jun 20, 2016
Effective Date
Jul 7, 2016
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
1014 Stacy Ln, New Smyrna, FL 32168
388 SW 62Nd Blvd APT 6, Gainesville, FL 32607
Phone
(352) 214-0475
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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