TAIGA NISHIHORI
Physician/surgeon


Address: 5168 Royal Cypress Circle, Tampa, FL 33647

TAIGA NISHIHORI (Credential# 561715) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

TAIGA NISHIHORI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044133. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 5168 Royal Cypress Circle, Tampa, FL 33647. The current status is inactive.

Basic Information

Licensee Name TAIGA NISHIHORI
Credential ID 561715
Credential Number 1.044133
Credential Type Physician/Surgeon
Business Address 5168 Royal Cypress Circle
Tampa
FL 33647
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-03-06
Effective Date 2017-11-01
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
479576 CSP.0042349 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-09-18 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 5168 Royal Cypress Circle
City Tampa
State FL
Zip Code 33647

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Andrea Tobon Aristizabal 5209 Cypress Palms Lane, Tampa, FL 33647 Registered Nurse 2019-09-01 ~ 2020-08-31
Grace A Neubauer 18405 Bridleclub Dr, Tampa, FL 33647 Registered Nurse 2015-08-01 ~ 2016-07-31
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Competitor

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City Tampa
Zip Code 33647
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Tampa

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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