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Bibhu
Bibhu
Mohanty
Medical doctor
Interventional cardiology
Tampa,
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Florida Health Care Practitioner Data Portal
Full name
Bibhu Mohanty
Job Title
Medical Doctor
Location
Tampa, FL, USA
LIC ID
133501
Current License Expiration Date
31/01/2026
Original Date
14/08/2017
Professional Rank Code
ME
Effective Date
14/08/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
Suite 5064
Practice Location Address Line 1
USF-STC 2 Tampa General Circle
Practice Location Address Line 2
Ste 5064
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33606
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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