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Case Number and Status

Case Number: I-200-18136-863068

Submitted on:

CERTIFIED

on:

Employment

From: 2018-06-19

To: 2021-06-19 (1,096 days)

Address

300 South Park Place Blvd
Clearwater, FL 33759

Phone

8632971764


Attorney Summary

Location
Winston-salem, NC

Job Summary

Job Title
Physician
City and State
Bartow, FL
County
Polk

Soc Code
29-1062.00
Naics Code
Industry Code
622110