SAMUEL W JACKSON
Medical Practice at Grovepark Dr, Davenport, FL

License number
Florida 49326
Issued Date
Jul 1, 1985
Effective Date
Oct 14, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
510 Grovepark Dr, Davenport, FL 33837
2586 Partin Settlement Rd, Kissimmee, FL 34744
Phone
(321) 624-0716
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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