Physician Licenses in Florida

License number
Florida 17956
Address
2901 NW 126Th Ave UNIT 421, Fort Lauderdale, FL 33323
Category
Health Care
Issued Date
Jun 13, 2012
Effective Date
Feb 10, 2015
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician
License number
Florida 5526
Address 2
2861 Somerset Dr APT #303, Fort Lauderdale, FL 33311
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jul 1, 2002
Effective Date
Jun 15, 2007
Expiration Date
Jul 1, 2008
Type
Registration for Resident/HSE Physician
License number
Florida 2465
Address
7762 Jefferson Place Blvd, Baton Rouge, LA 70809
Category
Health Care
Issued Date
Jul 14, 1999
Effective Date
Jul 31, 2002
Expiration Date
Jul 14, 2003
Type
Registration for Resident/HSE Physician
License number
Florida 3130
Address
230 Old Bay Ln, Kissimmee, FL 34743
Category
Health Care
Issued Date
Apr 14, 2000
Effective Date
May 28, 2003
Expiration Date
Apr 14, 2004
Type
Registration for Resident/HSE Physician
License number
Florida 11467
Address
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
May 25, 2007
Effective Date
Oct 7, 2010
Expiration Date
Jul 1, 2011
Type
Registration for Resident/HSE Physician
License number
Florida 7633
Address
200 SW 61St Ave, Miami, FL 33144
Category
Health Care
Issued Date
Jun 24, 2004
Effective Date
Aug 9, 2011
Expiration Date
Jun 24, 2006
Type
Registration for Resident/HSE Physician