SOFANNA THEISEN
Radiology at Black Plum Ct, Fort Lauderdale, FL

License number
Florida 75974
Issued Date
Oct 14, 2009
Effective Date
Oct 14, 2009
Expiration Date
Oct 31, 2018
Category
Health Care
Type
Radiologic Technology
Address
Address
6011 Black Plum Ct, Fort Lauderdale, FL 33321
Phone
(954) 662-5639
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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