SHAWN M WALLACE
Medical Practice at Waterford Run Dr, Riverview, FL

License number
Florida 122253
Issued Date
Nov 24, 2014
Effective Date
Nov 24, 2014
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
13023 Waterford Run Dr, Riverview, FL 33569
13421 Fishhawk Blvd, Lithia, FL 33547
Phone
(813) 763-6895
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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