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5103 N. Armenia Ave
Tampa, FL 33603
(813)87723338588 Starkey Rd, Ste C
Largo, FL 33777
(727)39277347442 N. Tamiami TRL, Ste B
Sarasota, FL 34243
(941)3599711Medical Records Release
(Name of Patient)(Birthdate)Authorizes:Release
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