NICHOLAS DERUSSO
Medical Practice at Broward Blvd, Fort Lauderdale, FL

License number

Florida 503090

Issued Date

Sep 2, 2003

Effective Date

Oct 20, 2016

Expiration Date

Dec 1, 2018

Category

Health Care

Type

Emergency Medical Technician

Address

Address

5461 W Broward Blvd, Fort Lauderdale, FL 33317

Medical Practice licenses in Florida

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