PHILLIP NORTHUP
Medical Practice at Misty Lk Dr, Mulberry, FL

License number
Florida 509752
Issued Date
Oct 7, 2005
Effective Date
Jul 14, 2008
Expiration Date
Mar 1, 2007
Category
Health Care
Type
Emergency Allergy Treatment Licensee
Address
Address
5425 Misty Lake Dr, Mulberry, FL 33860
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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