WILLIAM A PROVOST
Medical Practice at Fairway Rd, Hollywood, FL

License number
Florida 85722
Issued Date
Mar 9, 1998
Effective Date
Feb 18, 2011
Expiration Date
Dec 1, 1998
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1533 Fairway Rd, Hollywood, FL 33026
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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