STEPHEN M DEATHERAGE
Medical Practice at Brunot Cir, Melbourne, FL

License number
Florida 80375
Issued Date
Feb 12, 1996
Effective Date
Nov 4, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
3470 Brunot Cir, Melbourne, FL 32940
1800 Rockledge Blvd, Viera, FL 32955
Phone
(321) 302-6972
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Stephen Deatherage, age 55
3470 Brunot Cir, Melbourne, FL 32940
(321) 638-0615
Stephen M Deatherage, age 56
4040 Chardonnay Dr, Rockledge, FL 32955
(321) 638-0615
Stephen M Deatherage, age 56
1600 Woodland Dr, Rockledge, FL 32955
Stephen M Deatherage, age 56
6242 Balsam St, Cocoa, FL 32927
(321) 636-7137

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