OPAL A PREVATT
Physician at 6 Ave, Fort Lauderdale, FL

License number

Florida 21416

Issued Date

Apr 29, 2015

Effective Date

Apr 29, 2015

Expiration Date

Jun 30, 2019

Category

Health Care

Type

Registration for Resident/HSE Physician

Address

Address

5358 NE 6Th Ave APT 6B, Fort Lauderdale, FL 33334

Phone

(917) 412-4016

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