PAVEL ANTONOV
Physician at Festa Fairway Ln, Radisson, NY

License number
Florida 23829
Issued Date
Jun 13, 2016
Effective Date
Jun 13, 2016
Expiration Date
Jun 30, 2018
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
145 Festa Fairway Ln, Radisson, NY 13027
11750 Bird Rd, Miami, FL 33175
Phone
(607) 765-1534
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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