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License Number: OS19213

Data As Of 6/16/2024

Profession Osteopathic Physician
License OS19213
License Status CLEAR/Active
License Expiration Date 3/31/2026
License Original Issue Date 08/23/2022
Address of Record 7727 Lake Underhill Rd
ORLANDO, FL 32822
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.