RICHARD J DETATA
Medical Practice at Pne Blvd, Hollywood, FL

License number
Florida 78176
Issued Date
Mar 16, 1995
Effective Date
Dec 2, 2016
Expiration Date
Dec 1, 2016
Category
Health Care
Type
Emergency Medical Technician
Address
Address
9500 Pines Blvd BLDG B, Hollywood, FL 33024
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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