PETER T BASIL
Medical Practice at 12 Ct, Hollywood, FL

License number
Florida 507217
Issued Date
Oct 25, 2004
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address
15578 NW 12Th Ct, Hollywood, FL 33028
Phone
(954) 441-1124
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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