MICHELLE D NICELY
Physician Assistant at Osprey Park Pl, Lithia, FL

License number
Florida 9100658
Issued Date
Dec 14, 1998
Effective Date
Jan 8, 2004
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
5618 Osprey Park Pl, Lithia, FL 33547
3215 Winter Lake Rd, Lakeland, FL 33803
Phone
(813) 684-0300
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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