TY K TABATA
Medical Practice at Nicklaus Dr, Melbourne, FL

License number
Florida 550065
Issued Date
Sep 2, 2015
Effective Date
Oct 5, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1792 Nicklaus Dr, Melbourne, FL 32935
Phone
(321) 508-5223