KIM ANN FREDERICKSEN
License Number: ME126793
Data As Of 6/30/2024
| Profession | Medical Doctor |
|---|---|
| License | ME126793 |
| License Status | CLEAR/Active |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 01/27/2016 |
| Address of Record | 15255 MAX LEGGETT PKWY |
| JACKSONVILLE, FL 32218 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
The information on this page is a secure, primary source for license verification provided by the Florida Department of Health, Division of Medical Quality Assurance. This website is maintained by Division staff and is updated immediately upon a change to our licensing and enforcement database.