RUSSELL S THAXTER
Medical Practice at Macad St, Port Saint Lucie, FL

License number
Florida 87472
Issued Date
Feb 9, 1999
Effective Date
Sep 30, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
4151 SW Macad St, Port Saint Lucie, FL 34953
Phone
(772) 260-5635