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Case Number and Status

Case Number: I-200-16141-477086

Submitted on:

CERTIFIED

on:

Employment

From: 2016-08-01

To: 2019-08-01 (1,095 days)

Address

1839 Central Ave
Saint Petersburg, FL 33713

Phone

7273221954


Attorney Summary

Location
Clearwater, FL

Job Summary

Job Title
Physician
City and State
Saint Petersburg, FL
County
Pinellas

Soc Code
29-1062.00
Naics Code
Industry Code
621112