VITALIY P TARANOV
Medical Practice at Milan St, Venice, FL

License number
Florida 527815
Issued Date
Aug 28, 2009
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1330 Milan St, Venice, FL 34286
Phone
(941) 815-1226

Personal information

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Name
Address
Phone
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(941) 258-0799
Vitaliy P Taranov, age 49
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5651 S Cranberry Blvd, North Port, FL 34286