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

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