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Bordin
Bordin
Intachai
Medical doctor
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
Bordin Intachai
Job Title
Medical Doctor
Location
Jacksonville, FL, USA
LIC ID
163286
Current License Expiration Date
31/01/2025
Original Date
01/08/2022
Professional Rank Code
ME
Effective Date
01/08/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
3269 Hidden Lake Dr. W
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32216
Prescribing Indicator
N
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