License Number: ME98741
Primary Practice Address
This practitioner does NOT participate in the Medicaid program.
This practitioner has not indicated any staff privileges.
Please contact at: firstname.lastname@example.org
Other State Licenses
This practitioner has indicated the following additional state licensure:
Florida Birth-Related Neurological Injury Compensation Association
This practitioner does not hold any certifications from specialty boards recognized by the Florida board which regulates the profession for which he/she is licensed.
I have elected not to carry medical malpractice insurance however, I agree to satisfy any adverse judgments up to the minimum amounts pursuant to s. 458.320(5) (g)1, F. S. I understand that I must either post notice in a sign prominently displayed in my reception area or provide a written statement to any person to whom medical services are being provided that I have decided not to carry medical malpractice insurance. I understand that such a sign or notice must contain the wording specified in s. 458.320(5) (g), F.S.