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Autumn
Autumn
Chim
Physician assistant
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
Autumn Chim
Job Title
Physician Assistant
Location
Jacksonville, FL, USA
LIC ID
20451
Current License Expiration Date
31/01/2024
Original Date
13/09/2022
Professional Rank Code
PA
Effective Date
13/09/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
4500 San Pablo Rd S
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32224
Mode Code
Prescribing
Prescribing Indicator
N
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