SHANE A MATTIS
Medical Practice at 14 St, Fort Lauderdale, FL

License number
Florida 546745
Issued Date
Aug 22, 2014
Effective Date
Aug 22, 2014
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
712 NE 14Th St APT 3, Fort Lauderdale, FL 33304
Phone
(754) 422-0707
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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