TRAVIS L FUDGE
Medical Practice at Plymouth St, Jacksonville, FL

License number
Florida 6107
Issued Date
Jan 11, 2005
Effective Date
Nov 17, 2008
Expiration Date
Dec 31, 2005
Category
Health Care
Type
Clinical Laboratory Trainee
Address
Address
5384 Plymouth St, Jacksonville, FL 32205
Phone
(904) 783-4720
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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