Physician Licenses in Florida

License number
Florida 196
Address 2
12113 Galena Rd, Rockville, MD 20852
8901 Wisconsin Ave, Bethesda, MD 20889
Category
Health Care
Issued Date
Aug 11, 1998
Effective Date
Aug 24, 2011
Expiration Date
Apr 3, 2000
Type
Registration for Resident/HSE Physician
License number
Florida 4100
Address
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Dec 5, 2000
Effective Date
Dec 11, 2002
Expiration Date
Dec 5, 2002
Type
Registration for Resident/HSE Physician
License number
Florida 11265
Address 2
4424 W Whitewater Ave, Fort Lauderdale, FL 33332
1444 NW 9Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
May 16, 2007
Effective Date
Aug 2, 2011
Expiration Date
Jul 1, 2011
Type
Registration for Resident/HSE Physician
License number
Florida 1426
Address
200 1 Street,Sw SW, Rochester, MN 55901
Category
Health Care
Issued Date
Feb 4, 1999
Effective Date
Jan 15, 2001
Expiration Date
Jan 6, 2001
Type
Registration for Resident/HSE Physician
License number
Florida 3486
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jun 21, 2000
Effective Date
Aug 26, 2004
Expiration Date
Jun 21, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 6497
Address 2
136 Painted Post Ln, Gaithersburg, MD 20878
807 Children's Way CHILDREN'S WAY, Jacksonville, FL 32207
Category
Health Care
Issued Date
Apr 11, 2003
Effective Date
Aug 2, 2011
Expiration Date
Apr 11, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 5002
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jul 1, 2001
Effective Date
Mar 10, 2004
Expiration Date
Jul 1, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 4847
Address
653-1 W 8Th St, Jacksonville, FL 32209
Category
Health Care
Issued Date
Jul 1, 2001
Effective Date
Jul 11, 2003
Expiration Date
Jul 1, 2003
Type
Registration for Resident/HSE Physician
License number
Florida 9058
Address
653-1 W 8Th St BOX L15, Jacksonville, FL 32209
Category
Health Care
Issued Date
May 20, 2005
Effective Date
May 16, 2011
Expiration Date
Jul 1, 2011
Type
Registration for Resident/HSE Physician
License number
Florida 15080
Address 2
125 Fairway Dr, Ormond Beach, FL 32176
201 N Clyde Morris Blvd, Daytona Beach, FL 32114
Category
Health Care
Issued Date
May 20, 2010
Effective Date
Jul 27, 2012
Expiration Date
Jun 30, 2012
Type
Registration for Resident/HSE Physician
License number
Florida 5665
Address
1600 SW Archer Rd, Gainesville, FL 32610
Category
Health Care
Issued Date
Jul 1, 2002
Effective Date
Jul 21, 2011
Expiration Date
Jul 1, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 5667
Address
5030 SW 94Th St, Gainesville, FL 32608
Category
Health Care
Issued Date
Jul 1, 2002
Effective Date
Jul 21, 2011
Expiration Date
Jul 1, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 8472
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Sep 1, 2004
Effective Date
Jun 20, 2005
Expiration Date
Sep 1, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 17628
Address
1210 SW 11Th Ave APT E402, Gainesville, FL 32601
Category
Health Care
Issued Date
May 22, 2012
Effective Date
May 22, 2012
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician
License number
Florida 20448
Address 2
3447 Arswal St, Saint Louis, MO 63118
201 Clyde Morris Blvd, Daytona Beach, FL 32114
Category
Health Care
Issued Date
May 27, 2014
Effective Date
May 27, 2014
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician
License number
Florida 1429
Address 2
7524 Southside Blvd #707, Jacksonville, FL 32256
200 1 Street, SW, Rochester, MN 55905
Category
Health Care
Issued Date
Feb 4, 1999
Effective Date
Nov 6, 2000
Expiration Date
Jan 6, 2001
Type
Registration for Resident/HSE Physician
License number
Florida 6301
Address
3100 Weston Rd, Fort Lauderdale, FL 33331
Category
Health Care
Issued Date
Mar 10, 2003
Effective Date
Mar 11, 2005
Expiration Date
Mar 10, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 20980
Address 2
200 1St St SW, Rochester, MN 55902
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Dec 22, 2014
Effective Date
Dec 22, 2014
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician
License number
Florida 18173
Address 2
2458 Blaine Ave SE, Grand Rapids, MI 49507
601 4Th St S, Saint Petersburg, FL 33701
Category
Health Care
Issued Date
Nov 13, 2012
Effective Date
Dec 12, 2014
Expiration Date
Nov 12, 2014
Type
Registration for Resident/HSE Physician
License number
Florida 5389
Address 2
1575 Fillmore St, Denver, CO 80206
4300 Alton Rd, Miami, FL 33140
Category
Health Care
Issued Date
Jul 1, 2002
Effective Date
Jul 11, 2004
Expiration Date
Jul 1, 2004
Type
Registration for Resident/HSE Physician