Mesa Juan D - Florida Health Professionals

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Profession

Complete directory of Florida Health Professionals
Source: Florida Department of Health (June, 29, 2019)

License Active Status Description	ACTIVE
County	BROWARD
Address (Line 1)	16337 NW 11 ST
Address (City)	PEMBROKE PINES
Address (State)	FL
Address (Zip Code)	33028
Profession	Athletic Trainer
Email	jdmatc@live.com
File Number	3464
License Expiration Date	9/30/2020
Original Date	7/10/2012
Rank Code	AL
License Number	3319
Status Effective Date	10/1/2014

Phone Number (Area Code)	305
Phone Number	815-4634
Practice Location (Address Line1)	16337 NW 11 ST
Practice Location (City)	PEMBROKE PINES
Practice Location (State)	FL
Practice Location (Zip Code)	33028
Prescribe Ind	N
Full Name	MESA JUAN D
Board Action Indicator	N
License Status Description	CLEAR