Physician Licenses in Florida

License number
Florida 16228
Address
653-1 W 8Th St BOX L15, Jacksonville, FL 32209
Category
Health Care
Issued Date
May 18, 2011
Effective Date
Apr 2, 2014
Expiration Date
Jun 30, 2015
Type
Registration for Resident/HSE Physician
License number
Florida 4360
Address 2
202 Acedemy St, Powersville, GA 31008
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
May 16, 2001
Effective Date
Sep 20, 2002
Expiration Date
Jun 30, 2003
Type
Registration for Resident/HSE Physician
License number
Florida 8187
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jul 1, 2004
Effective Date
Aug 9, 2011
Expiration Date
Jul 1, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 5697
Address 2
16539 Gerdine Path W, Lakeville, MN 55068
653-1 W 8Th St, Jacksonville, FL 32209
Category
Health Care
Issued Date
Jul 1, 2002
Effective Date
May 28, 2008
Expiration Date
Jul 1, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 7658
Address
1205 Mariposa Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jul 1, 2004
Effective Date
Jun 13, 2007
Expiration Date
Jul 1, 2008
Type
Registration for Resident/HSE Physician
License number
Florida 2383
Address
700 6Th St S, Saint Petersburg, FL 33701
Category
Health Care
Issued Date
Jul 13, 1999
Effective Date
Nov 6, 2000
Expiration Date
Jul 13, 2001
Type
Registration for Resident/HSE Physician
License number
Florida 8825
Address
2725 SE Maricamp Rd, Ocala, FL 34471
Category
Health Care
Issued Date
Jul 1, 2005
Effective Date
Apr 22, 2008
Expiration Date
Jul 1, 2009
Type
Registration for Resident/HSE Physician