Sample Listing - Directory of Florida Physicians

Sample Doctor's Listing for
Directory of Florida Physicians

(1) (2) (3) (4) (5) (6) (7)

BROWN JOHN W: MD: M: FAMILY PRACTICE: 954-999-1111:

(8) (9) (10) (11) (12) (13) (14) (15)

1/31/09: ME: 99045: 1234567890: N99999: AB2223333: BROWARD: 1949:

(16) (17) (18) (19)

1201 N 39TH STREET: ACTIVE: CLEAR: JBROWN@AOL.COM:

(20) (21) (22) (23) (24)

HOLLYWOOD, FL 33021: NO: 1501: 99900: 954-999-2222:

1) Last name

2) First name

3) Middle name, suffix

4) Type of degree

5) Gender

6) Specialty

7) Telephone number

8) Expiration date (Florida permit)

9) Rank (Florida license type)

10) License number (Florida)

11) NPI Medicare number

12) UPIN Medicare number

13) DEA registration number

14) Florida county or out of state

15) Year of birth

16) Mailing address, street

17) Florida license status

18) Description (Florida license status)

19) Email address

20) Mailing address, city, state and zip code

21) Florida board discipline taken

22) Florida professional code

23) Florida license ID number

24) Fax number

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