Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Sep 7, 2006
License(s)
ME0056858 (FL), ME56858 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4800 NE 20TH TER STE 303 | Fort Lauderdale, FL 33308-4510 | 954-771-8877 |
| MAILING | 4800 NE 20TH TER STE 303 | Fort Lauderdale, FL 33308-4510 | 954-771-8877 |
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