RANDALL L BOONSTRA
Medical Practice at Bougainvillea Ave, Tampa, FL

License number
Florida 35257
Issued Date
Nov 12, 1997
Effective Date
Aug 31, 2016
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
701 W Bougainvillea Ave, Tampa, FL 33612
Phone
(813) 415-2329
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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