Physician Licenses in Florida

License number
Florida 17879
Address
1300 Shetter Ave BOX L15, Jacksonville, FL 32250
Category
Health Care
Issued Date
Jun 7, 2012
Effective Date
Jun 7, 2012
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician
License number
Florida 6533
Address 2
1926 W Harrison St APT 1007, Chicago, IL 60612
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jul 1, 2003
Effective Date
Aug 2, 2011
Expiration Date
Jul 1, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 9010
Address 2
825 Pontiac Ave, Cranston, RI 02910
1611 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
May 9, 2005
Effective Date
Jun 27, 2005
Expiration Date
May 9, 2007
Type
Registration for Resident/HSE Physician
License number
Florida 8489
Address
814 Lenox Ave, Miami, FL 33139
Category
Health Care
Issued Date
Sep 24, 2004
Effective Date
Jul 27, 2007
Expiration Date
Sep 24, 2008
Type
Registration for Resident/HSE Physician
License number
Florida 908
Address 2
306 Chesterfirld, Wildwood, MO 63017
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 11052
Address
300 E South St Apt , 2006, Orlando, FL 32801
Category
Health Care
Issued Date
May 1, 2007
Effective Date
Mar 23, 2010
Expiration Date
Jul 1, 2011
Type
Registration for Resident/HSE Physician
License number
Florida 8027
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jul 1, 2004
Effective Date
Jun 6, 2007
Expiration Date
Jul 1, 2008
Type
Registration for Resident/HSE Physician
License number
Florida 15754
Address 2
616 Clearwater Park Rd, West Palm Beach, FL 33401
5301 S Congress Ave, Lake Worth, FL 33462
Category
Health Care
Issued Date
Apr 13, 2011
Effective Date
Jul 24, 2015
Expiration Date
Jun 30, 2015
Type
Registration for Resident/HSE Physician
License number
Florida 13866
Address
1611 NW 12 Ave East Tower 1 FLOOR RM#1004, Miami, FL 33136
Category
Health Care
Issued Date
May 19, 2009
Effective Date
Jul 11, 2011
Expiration Date
Jun 30, 2011
Type
Registration for Resident/HSE Physician
License number
Florida 2007
Address
5401 Collins Ave #534, Miami, FL 33119
Category
Health Care
Issued Date
Jun 10, 1999
Effective Date
Mar 25, 2002
Expiration Date
Jun 9, 2003
Type
Registration for Resident/HSE Physician
License number
Florida 3774
Address
935 8Th St APT 5, Miami, FL 33139
Category
Health Care
Issued Date
Jul 19, 2000
Effective Date
Jul 17, 2003
Expiration Date
Jul 19, 2004
Type
Registration for Resident/HSE Physician
License number
Florida 15392
Address
1 Tampa General Cir ROOM J-402, Tampa, FL 33606
Category
Health Care
Issued Date
Jun 7, 2010
Effective Date
Jul 27, 2012
Expiration Date
Jun 30, 2012
Type
Registration for Resident/HSE Physician
License number
Florida 8219
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jul 1, 2004
Effective Date
Apr 13, 2005
Expiration Date
Jul 1, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 6741
Address 2
16 Prentice St, Worcester, MA 01604
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jun 5, 2003
Effective Date
Aug 4, 2011
Expiration Date
Jun 5, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 2708
Address
1050 N 14Th St, Miami, FL 33136
Category
Health Care
Issued Date
Sep 8, 1999
Effective Date
Oct 11, 2003
Expiration Date
Sep 8, 2003
Type
Registration for Resident/HSE Physician
License number
Florida 3621
Address 2
275 Bryn Mawr Ave, Rosemont, PA 19010
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jul 3, 2000
Effective Date
Sep 8, 2000
Expiration Date
Jul 3, 2002
Type
Registration for Resident/HSE Physician
License number
Florida 6520
Address 2
9611 Boulder St, Hollywood, FL 33025
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jun 24, 2003
Effective Date
Aug 2, 2011
Expiration Date
Jun 24, 2005
Type
Registration for Resident/HSE Physician
License number
Florida 17819
Address 2
210 Farmington Ave APT 419, Hartford, CT 06105
1611 NW 12 Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jun 5, 2012
Effective Date
Aug 4, 2014
Expiration Date
Jun 30, 2014
Type
Registration for Resident/HSE Physician
License number
Florida 15777
Address 2
62-02 79Th St, Flushing, NY 11379
1851 NW 10Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Apr 20, 2011
Effective Date
Aug 7, 2013
Expiration Date
Jun 30, 2013
Type
Registration for Resident/HSE Physician
License number
Florida 9598
Address
200 1St St SW, Rochester, MN 55905
Category
Health Care
Issued Date
Oct 11, 2005
Effective Date
Aug 17, 2011
Expiration Date
Dec 2, 2007
Type
Registration for Resident/HSE Physician