Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Dec 27, 2005
License(s)
ME83859 (FL), 55960 (CT), 0101246446 (VA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1613 HARRISON PKWY STE 200 SHERIDAN HEALTH CORP. | Sunrise, FL 33323-2853 | 954-838-2502 |
| MAILING | 1613 HARRISON PKWY STE 200 | Sunrise, FL 33323-2853 | 954-838-2502 |
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