Lastra Angie J - Florida Health Professionals
| License Active Status Description | ACTIVE |
|---|---|
| County | MIAMI-DADE |
| Address (Line 1) | 5700 COLLINS AVENUE Apartment 9J |
| Address (City) | MIAMI BEACH |
| Address (State) | FL |
| Address (Zip Code) | 33140 |
| Profession | Medical Doctor |
 angielastra5@gmail.com | |
| File Number | 121399 |
| License Expiration Date | 1/31/2021 |
| Original Date | 9/9/2014 |
| Rank Code | ME |
| License Number | 121548 |
| Status Effective Date | 9/9/2014 |
| Phone Number (Area Code) | 787 |
|---|---|
| Phone Number | 948-5574 |
| Practice Location (Address Line1) | 3702 Washington St suite 303 |
| Practice Location (City) | HOLLYWOOD |
| Practice Location (State) | FL |
| Practice Location (Zip Code) | 33021 |
| Prescribe Ind | Y |
| Full Name | LASTRA ANGIE J |
| Board Action Indicator | N |
| License Status Description | CLEAR |
Other entries in this dataset
- HARRIS TERRENCE W
- ISAAC REBA K
- BENJAMIN SUZANNE N
- SHEPPARD JAMES C
- MAGEL LEAH G
- WINSTON JULIA L
- BUZZELLA ERIN R
- DUDELZAK ALLA
- SERENTILL LUIS H
- BRIDGE JASON L
- SAEED-VAFA DARYOUSH
- AGUIRRE CHARMAINE A
- AMBWANI JAGDISH C
- SCHWARZBERG ROBERT J
- SHETH NIJAL
- BARR SCOTT C
- PELINI DAVID C
- SCHORR CARYN B
- BISHAI GEORGE B
- FLYNN RICHARD J
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