RICHARD S PROVENCHER
Medical Practice at 31 Ct, Miami, FL

License number
Florida 504356
Issued Date
Jan 8, 2004
Effective Date
Dec 8, 2006
Expiration Date
Dec 1, 2006
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
17980 NE 31St Ct, Miami, FL 33160
3372 Dow Ln, Brooksville, FL 34609
Phone
(786) 376-4560
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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