PATRICK J FORT
Medical Practice at Lk Douglas Pl, Orlando, FL

License number
Florida 304267
Issued Date
Feb 27, 2002
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
9406 Lake Douglas Pl, Orlando, FL 32817
Phone
(352) 665-0053