License holder summary

KYOTA FUKAZAWA is a Department Of Health - Medical Doctor licensed to practice in Florida. The address on file for KYOTA FUKAZAWA is 1611 NW 12TH AVE, #D318-C, MIAMI, FL 33136. This doctor license is current. The license was granted 05/14/1999 and expired on 01/31/2017.

Florida

Florida Board of Medicine

KYOTA FUKAZAWA
Department Of Health - Medical Doctor
License number
ME104793
Date granted
05/14/1999
Date expires
01/31/2017
Class
Department Of Health - Medical Doctor
Status
Active
Address
1611 NW 12TH AVE, #D318-C, MIAMI, FL 33136
doctorsflorida.org
ID 21686512
LAST UPDATED 2026-04-14 22:40:38 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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