Physician Licenses in Florida

License number
Florida 17777
Address
12901 Bruce B Downs Blvd, Tampa, FL 33612
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 2448
Address
4470 Hamilton Ave APT B, San Jose, CA 91530
Category
Health Care
Issued Date
Jul 13, 1999
Effective Date
Oct 11, 2003
Expiration Date
Jul 13, 2003
Type
Registration for Resident/HSE Physician
License number
Florida 9365
Address 2
2400 S Glebe Rd APT 424, Arlington, VA 22206
Dept Of Ob/Gyn R116, Miami, FL 33101
Category
Health Care
Issued Date
Jun 13, 2005
Effective Date
Aug 17, 2011
Expiration Date
Jul 1, 2007
Type
Registration for Resident/HSE Physician
License number
Florida 9078
Address
653-1 W 8 St Lrc FL 4, Jacksonville, FL 32209
Category
Health Care
Issued Date
May 20, 2005
Effective Date
Aug 17, 2005
Expiration Date
Jul 1, 2007
Type
Registration for Resident/HSE Physician
License number
Florida 240
Address
11519 Gauerla Dr, Tampa, FL 33624
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 7543
Address 2
491 Haddon Ave, Camden, NJ 08108
PO Box 16960, Miami, FL 33101
Category
Health Care
Issued Date
Jul 1, 2004
Effective Date
Aug 9, 2011
Expiration Date
Jul 1, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 11842
Address 2
Box 7117, Rochester, MN 55903
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Jul 24, 2007
Effective Date
Aug 23, 2011
Expiration Date
Oct 1, 2009
Type
Registration for Resident/HSE Physician