Abdul Basit

Medical doctor

JACKSONVILLE, US

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Full name

Abdul Basit

Job Title

Medical Doctor

Location

Jacksonville

LIC ID

158414

Current License Expiration Date

31/01/2026

Original Date

28/12/2021

Professional Rank Code

Effective Date

28/12/2021

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

DUVAL

Mailing Address Line 2

Apt 805

Practice Location Address Line 1

Mayo Clinic 4500 San Pablo RdS

Practice Location Address City

JACKSONVILLE

Practice Location Address State

Practice Location Address Zipcode

32224

Mode Code

In Training Program Receives Fee Reducti

Prescribing Indicator

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