License Number: DN23317Data As Of 2/7/2023
|License Expiration Date||2/28/2024|
|License Original Issue Date||05/17/2018|
|Address of Record||131 NW 100th AVE|
|PLANTATION, FL 33324|
|Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)||Yes|
|Discipline on File||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.