Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jan 3, 2006
License(s)
ME90188 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 816759 | Hollywood, FL 33081-0759 | 954-964-2450 |
| LOCATION | 1400 NW 12TH AVE | Miami, FL 33136-1003 | 305-325-5416 |
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