DAVID A VIVAS
Physician at Frst Ave, Lake Grove, NY

License number
Florida 19584
Issued Date
Feb 10, 2014
Effective Date
Jul 24, 2015
Expiration Date
Jun 30, 2016
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
62 Forest Ave, Lake Grove, NY 11755
2950 Cleveland Clinic Blvd, Fort Lauderdale, FL 33331
Phone
(203) 554-1911
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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