License Number: DN13027Data As Of 6/2/2020
|License Expiration Date||2/28/2022|
|License Original Issue Date||07/06/1992|
|Address of Record||357 ALMERIA AVENUE|
|CORAL GABLES, FL 33134|
|Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)||No|
|Discipline on File||Yes|
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