TABATA BAHIENSE GRODIN
Physician at De Soto St, Pensacola, FL

License number
Florida 21429
Issued Date
Apr 29, 2015
Effective Date
Apr 29, 2015
Expiration Date
Jun 30, 2017
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
1417 E De Soto St, Pensacola, FL 32501
Phone
(561) 707-0977
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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