MICHAEL R FORTENBERY
Medical Practice at 58 Ln, Saint Petersburg, FL

License number
Florida 541637
Issued Date
Feb 6, 2013
Effective Date
Nov 1, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
3901 58 Ln N, Saint Petersburg, FL 33709
11350 43 St N, Clearwater, FL 33762
Phone
(727) 644-4057
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Michael Fortenbery, age 44
3901 58Th Ln N, Saint Petersburg, FL 33709
Michael Fortenbery
4457 Crestwood Dr N, St Petersburg, FL 33714
(727) 742-3315
Michael R Fortenbery, age 44
3513 Ithaca St N, Saint Petersburg, FL 33713
Michael R Fortenbery, age 44
3901 58Th Ln N, Saint Petersburg, FL 33709
Michael R Fortenbery
6358 92Nd Pl, Pinellas Park, FL 33782

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