JACK J NI
Osteopathic Medicine at Lakeside Dr, Hollywood, FL

License number
Florida 4565
Issued Date
May 13, 2015
Effective Date
May 3, 2016
Expiration Date
Jun 30, 2017
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address 2
3517 Lakeside Dr, Hollywood, FL 33328
2001 W 68Th St, Hialeah, FL 33016
Phone
(214) 680-4696
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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