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Erica
Erica
Mizuma
Registered nurse
Pembroke Pines, United States
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Florida Health Care Practitioner Data Portal
Full name
ERICA MIZUMA
Job Title
Registered Nurse
Location
Pembroke Pines, FL, USA
LIC ID
527655
Current License Expiration Date
30/04/2025
Original Date
10/09/2015
Professional Rank Code
RN
Effective Date
10/09/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BROWARD
Mailing Address Line 2
APT 5230
Practice Location Address Line 1
1611 NW 12th Ave
Practice Location Address City
MIAMI
Practice Location Address State
FL
Practice Location Address Zipcode
33136
Mode Code
Multistate Registered Nurse
Prescribing Indicator
N
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