Physician Licenses in Florida

License number
Florida 10147
Address
PO Box 100005, Gainesville, FL 32610
Category
Health Care
Issued Date
Jun 5, 2006
Effective Date
Aug 18, 2011
Expiration Date
Jul 1, 2008
Type
Registration for Resident/HSE Physician
License number
Florida 12570
Address
6211 Glen Flint Ct, Indianapolis, IN 46254
Category
Health Care
Issued Date
May 13, 2008
Effective Date
Aug 23, 2011
Expiration Date
Jun 30, 2010
Type
Registration for Resident/HSE Physician
License number
Florida 3048
Address
3940 Alberta Dr NE, Rochester, MN 55906
Category
Health Care
Issued Date
Jan 28, 2000
Effective Date
Feb 22, 2002
Expiration Date
Jan 28, 2002
Type
Registration for Resident/HSE Physician
License number
Florida 10336
Address
PO Box 1289, Tampa, FL 33601
Category
Health Care
Issued Date
Jun 9, 2006
Effective Date
Aug 18, 2011
Expiration Date
Jul 1, 2010
Type
Registration for Resident/HSE Physician
License number
Florida 9946
Address
1 Tampa General Cir SUITE J-402, Tampa, FL 33606
Category
Health Care
Issued Date
May 22, 2006
Effective Date
Jul 27, 2012
Expiration Date
Jul 1, 2012
Type
Registration for Resident/HSE Physician
License number
Florida 19404
Address 2
70 Grande Isle Ave SW UNIT 2821, Rochester, MN 55902
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Jul 9, 2013
Effective Date
Sep 24, 2015
Expiration Date
Jul 8, 2015
Type
Registration for Resident/HSE Physician
License number
Florida 15944
Address
1600 SW Archer Rd BOX 100296, Gainesville, FL 32610
Category
Health Care
Issued Date
May 3, 2011
Effective Date
Jul 24, 2015
Expiration Date
Jun 30, 2015
Type
Registration for Resident/HSE Physician
License number
Florida 13691
Address
653-1 W 8Th St BOX L-15, Jacksonville, FL 32209
Category
Health Care
Issued Date
May 11, 2009
Effective Date
Aug 6, 2013
Expiration Date
Jun 30, 2013
Type
Registration for Resident/HSE Physician
License number
Florida 15398
Address 2
218 NW 12Th Ave, Miami, FL 33128
701 6Th St S, Saint Petersburg, FL 33701
Category
Health Care
Issued Date
Jun 7, 2010
Effective Date
Jun 24, 2014
Expiration Date
Jun 21, 2014
Type
Registration for Resident/HSE Physician
License number
Florida 8390
Address 2
50 E 98Th St APT 4H-1, New York, NY 10029
1611 NW 12Th Ave, Miami, FL 33136
Category
Health Care
Issued Date
Jul 2, 2004
Effective Date
Aug 15, 2011
Expiration Date
Jul 2, 2006
Type
Registration for Resident/HSE Physician
License number
Florida 771
Address
1931 N River Bluff Rd N, Jacksonville, FL 32211
Category
Health Care
Issued Date
Aug 20, 1998
Effective Date
Nov 15, 2001
Expiration Date
Oct 4, 2001
Type
Registration for Resident/HSE Physician
License number
Florida 2396
Address
600 Jimmy Ann Dr, Daytona Beach, FL 32114
Category
Health Care
Issued Date
Jul 13, 1999
Effective Date
Nov 8, 2000
Expiration Date
Jul 13, 2001
Type
Registration for Resident/HSE Physician
License number
Florida 2313
Address
16615 SW 99Th Ct, Miami, FL 33157
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 12890
Address
2600 SW Williston Rd APT 502, Gainesville, FL 32608
Category
Health Care
Issued Date
Jun 3, 2008
Effective Date
Jul 26, 2012
Expiration Date
Jun 30, 2012
Type
Registration for Resident/HSE Physician
License number
Florida 16203
Address
10462 Andover Point Cir, Orlando, FL 32825
Category
Health Care
Issued Date
May 16, 2011
Effective Date
Aug 13, 2013
Expiration Date
Jun 30, 2015
Type
Registration for Resident/HSE Physician
License number
Florida 6657
Address
240 Collins Ave, Miami, FL 33139
Category
Health Care
Issued Date
Jul 1, 2003
Effective Date
Aug 4, 2011
Expiration Date
Jul 1, 2007
Type
Registration for Resident/HSE Physician
License number
Florida 20945
Address 2
3509 Birchwood Ln SW, Rochester, MN 55902
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Oct 23, 2014
Effective Date
Oct 23, 2014
Expiration Date
Jun 30, 2016
Type
Registration for Resident/HSE Physician
License number
Florida 12968
Address
7615 SW 58Th Ln APT 308, Gainesville, FL 32608
Category
Health Care
Issued Date
Jun 11, 2008
Effective Date
Apr 20, 2011
Expiration Date
Jun 30, 2012
Type
Registration for Resident/HSE Physician
License number
Florida 16869
Address 2
5421 Florence Dr NW, Rochester, MN 55901
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Nov 10, 2011
Effective Date
Jan 31, 2013
Expiration Date
Jan 1, 2013
Type
Registration for Resident/HSE Physician
License number
Florida 19483
Address 2
5421 Florence Dr NW, Rochester, MN 55901
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Oct 2, 2013
Effective Date
Feb 24, 2016
Expiration Date
Oct 1, 2015
Type
Registration for Resident/HSE Physician