Physician Licenses in Florida

License number
Florida 9015
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jul 1, 2005
Effective Date
Mar 30, 2009
Expiration Date
Jul 1, 2009
Type
Registration for Resident/HSE Physician
License number
Florida 4532
Address
86 W Underwood St SUITE 100, Orlando, FL 32806
Category
Health Care
Issued Date
Jul 1, 2001
Effective Date
Jun 20, 2005
Expiration Date
Jul 1, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 16874
Address
114 NW 114Th Way, Gainesville, FL 32607
Category
Health Care
Issued Date
Nov 14, 2011
Effective Date
Feb 24, 2016
Expiration Date
Nov 13, 2015
Type
Registration for Resident/HSE Physician
License number
Florida 9704
Address 2
5128 Folse Dr, Metairie, LA 70006
4500 San Pablo Rd, Jacksonville, FL 32209
Category
Health Care
Issued Date
Mar 14, 2006
Effective Date
Aug 1, 2006
Expiration Date
Apr 1, 2008
Type
Registration for Resident/HSE Physician
License number
Florida 3837
Address
1929 44Th St NW, Rochester, MN 55901
Category
Health Care
Issued Date
Jul 27, 2000
Effective Date
Sep 11, 2002
Expiration Date
Jul 27, 2002
Type
Registration for Resident/HSE Physician
License number
Florida 13575
Address
4207 S Dale Mabry Hwy #11101, Tampa, FL 33611
Category
Health Care
Issued Date
May 4, 2009
Effective Date
Aug 6, 2013
Expiration Date
Jun 30, 2013
Type
Registration for Resident/HSE Physician
License number
Florida 3121
Address
745 Meridian Ave #7, Miami, FL 33139
Category
Health Care
Issued Date
Apr 13, 2000
Effective Date
Aug 22, 2002
Expiration Date
Apr 13, 2004
Type
Registration for Resident/HSE Physician
License number
Florida 3904
Address 2
9363 118Th Ter N, Largo, FL 33773
701 6Th St S, Saint Petersburg, FL 33701
Category
Health Care
Issued Date
Aug 21, 2000
Effective Date
Dec 7, 2001
Expiration Date
Aug 21, 2002
Type
Registration for Resident/HSE Physician
License number
Florida 13616
Address 2
6711 Bougainvilla Ave S, Saint Petersburg, FL 33707
12901 Bruce B Downs Blvd, Tampa, FL 33612
Category
Health Care
Issued Date
May 6, 2009
Effective Date
Aug 6, 2013
Expiration Date
Jun 30, 2013
Type
Registration for Resident/HSE Physician
License number
Florida 4462
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jul 1, 2001
Effective Date
Mar 7, 2003
Expiration Date
Jul 1, 2003
Type
Registration for Resident/HSE Physician
License number
Florida 6329
Address
3681 Nottingham Dr NW, Rochester, MN 55901
Category
Health Care
Issued Date
Mar 1, 2003
Effective Date
Mar 11, 2005
Expiration Date
Mar 1, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 14791
Address
3211 W Swann Ave UNIT 1001, Tampa, FL 33609
Category
Health Care
Issued Date
May 3, 2010
Effective Date
Jul 1, 2010
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician