License holder summary

A ADI is a Department Of Health - Medical Doctor licensed to practice in Florida. The address on file for A ADI is 7562 W. GULF TO LAKE HWY., CRYSTAL RIVER, FL 34429. This doctor license is current. The license was granted 01/01/1964 and expired on 01/31/2015.

Florida

Florida Board of Medicine

A ADI
Department Of Health - Medical Doctor
License number
ME21587
Date granted
01/01/1964
Date expires
01/31/2015
Class
Department Of Health - Medical Doctor
Status
Active
Address
7562 W. GULF TO LAKE HWY., CRYSTAL RIVER, FL 34429
doctorsflorida.org
ID 21221051
LAST UPDATED 2021-09-23 12:04:43 UTC

This website is unaffiliated with the Florida Board of Medicine. Please verify all information directly with the relevant official government authority.

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