MISHA S BLAKE
Medical Practice at Standing Stone Dr, Wimauma, FL

License number
Florida 41125
Issued Date
Oct 9, 2007
Effective Date
Feb 21, 2007
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
10742 Standing Stone Dr, Wimauma, FL 33598
1 Tampa General Cir, Tampa, FL 33606
Phone
(813) 420-2817
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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