STACEY M HUMPHREYS
Physician at 102 Ln, Miami, FL

License number
Florida 15986
Issued Date
May 5, 2011
Effective Date
May 5, 2014
Expiration Date
Jun 30, 2015
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
7855 SW 102Nd Ln, Miami, FL 33156
Phone
(304) 669-4135
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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