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Florida Health Professionals

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

 

Nicoles Amanda M - Florida Health Professionals

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CountyMIAMI-DADE
Address (Line 1)15060 SW 104TH ST
Address (Line 2)#1609
Address (City)MIAMI
Address (State)FL
Address (Zip Code)33196
ProfessionAthletic Trainer
File Number2308
License Expiration Date9/30/2008
Original Date10/2/2006
Rank CodeAL
License Number2179
Status Effective Date10/14/2010
Phone Number (Area Code)559
Phone Number473-5773
Practice Location (Address Line1)15060 SW 104TH ST
Practice Location (Address Line 2)#1609
Practice Location (City)MIAMI
Practice Location (State)FL
Practice Location (Zip Code)33196
Prescribe IndN
Full NameNICOLES AMANDA M
Board Action IndicatorN
License Status DescriptionNULL AND VOID

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