Physician Licenses in Florida

License number
Florida 18021
Address
12901 Bruce B Downs Blvd, Tampa, FL 33612
Category
Health Care
Issued Date
Jun 25, 2012
Effective Date
Aug 4, 2014
Expiration Date
Jun 30, 2014
Type
Registration for Resident/HSE Physician
License number
Florida 3304
Address 2
866 Bullocks Point Ave, East Providence, RI 02915
12901 Bruce B Downs Blvd, Tampa, FL 33612
Category
Health Care
Issued Date
Jun 12, 2000
Effective Date
Oct 9, 2003
Expiration Date
Jun 12, 2002
Type
Registration for Resident/HSE Physician
License number
Florida 6321
Address 2
20121 Atwater Ave APT 809, Montreal, WI 54550
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jun 1, 2003
Effective Date
Aug 2, 2011
Expiration Date
Jun 1, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 18097
Address
12901 Bruce B Downs Blvd, Tampa, FL 33612
Category
Health Care
Issued Date
Jul 27, 2012
Effective Date
Aug 25, 2014
Expiration Date
Jul 31, 2014
Type
Registration for Resident/HSE Physician
License number
Florida 17798
Address
501 Knights Run Ave, Tampa, FL 33602
Category
Health Care
Issued Date
Jun 1, 2012
Effective Date
Jun 1, 2012
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician
License number
Florida 16319
Address
86 W Underwood St STE 201, Orlando, FL 32806
Category
Health Care
Issued Date
May 27, 2011
Effective Date
Aug 28, 2014
Expiration Date
Jun 30, 2015
Type
Registration for Resident/HSE Physician
License number
Florida 17397
Address 2
2101 Ocean Ave #6, Santa Monica, CA 90405
1800 NW 10Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
May 8, 2012
Effective Date
Aug 1, 2014
Expiration Date
Jun 30, 2014
Type
Registration for Resident/HSE Physician
License number
Florida 204
Address
12901 Bruce B Downs Blvd BOX 11, Tampa, FL 33612
Category
Health Care
Issued Date
Aug 11, 1998
Effective Date
Jun 15, 2000
Expiration Date
Jun 5, 2000
Type
Registration for Resident/HSE Physician
License number
Florida 7425
Address 2
100-10 67Th Rd, Flushing, NY 11375
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Oct 1, 2003
Effective Date
Aug 8, 2011
Expiration Date
Oct 1, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 13910
Address
1610 Lenox Ave APT 306, Miami, FL 33130
Category
Health Care
Issued Date
May 21, 2009
Effective Date
Aug 7, 2013
Expiration Date
Jun 30, 2013
Type
Registration for Resident/HSE Physician
License number
Florida 1524
Address
1400 NW 10Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Apr 14, 1999
Effective Date
Apr 15, 2001
Expiration Date
Apr 14, 2001
Type
Registration for Resident/HSE Physician
License number
Florida 4577
Address
8267 SW 128Th St, Miami, FL 33156
Category
Health Care
Issued Date
Jul 1, 2001
Effective Date
Jul 20, 2011
Expiration Date
Jul 1, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 5383
Address 2
212-4 Conner Dr, Chapel Hill, NC 27514
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Jun 29, 2002
Effective Date
Jul 11, 2004
Expiration Date
Jun 29, 2004
Type
Registration for Resident/HSE Physician
License number
Florida 3409
Address
PO Box 100265, Gainesville, FL 32610
Category
Health Care
Issued Date
Jun 15, 2000
Effective Date
May 7, 2003
Expiration Date
Jun 15, 2004
Type
Registration for Resident/HSE Physician
License number
Florida 874
Address 2
1011 Greenstone Ln, Duncanville, TX 75137
University Medical Ctr, Jacksonville, FL 32209
Category
Health Care
Issued Date
Aug 25, 1998
Effective Date
Oct 15, 2000
Expiration Date
Oct 8, 2000
Type
Registration for Resident/HSE Physician
License number
Florida 17761
Address
653-1 W 8 St BOX L-15, Jacksonville, FL 32209
Category
Health Care
Issued Date
May 31, 2012
Effective Date
Aug 4, 2014
Expiration Date
Jun 30, 2014
Type
Registration for Resident/HSE Physician
License number
Florida 10843
Address 2
310 85Th St, Brooklyn, NY 11209
1695 NW 9Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Mar 8, 2007
Effective Date
Sep 23, 2008
Expiration Date
Jul 1, 2009
Type
Registration for Resident/HSE Physician
License number
Florida 5441
Address 2
503 Powell Dr, Annapolis, MD 21401
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Jun 29, 2002
Effective Date
Jul 11, 2004
Expiration Date
Jun 29, 2004
Type
Registration for Resident/HSE Physician
License number
Florida 14429
Address 2
689 Forbrook Ln NW, Rochester, MN 55901
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Oct 16, 2009
Effective Date
Jul 14, 2011
Expiration Date
Jun 30, 2011
Type
Registration for Resident/HSE Physician
License number
Florida 14073
Address
2770 SW 26Th St, Miami, FL 33133
Category
Health Care
Issued Date
Jun 3, 2009
Effective Date
Aug 7, 2013
Expiration Date
Jun 30, 2013
Type
Registration for Resident/HSE Physician