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Omar
Omar
Henriquez
Medical doctor
Interventional pain medicine
Venice, United States
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Omar Henriquez
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME115730
License Status
Clear/Active
License Issue Date
11/04/2013
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
OMAR HENRIQUEZ
Job Title
Medical Doctor
Location
Venice, FL, USA
LIC ID
115294
Current License Expiration Date
31/01/2025
Original Date
11/04/2013
Professional Rank Code
ME
Effective Date
28/01/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SARASOTA
Mailing Address Line 2
Suite 601
Practice Location Address Line 1
1525 South Tamiami Trail,
Practice Location Address Line 2
Suite 601
Practice Location Address City
VENICE
Practice Location Address State
FL
Practice Location Address Zipcode
34285
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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