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Carl
Carl
Acquaviva
Pharmacist
Palm Bay, United States
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Florida Health Care Practitioner Data Portal
Full name
CARL ACQUAVIVA
Job Title
Pharmacist
Location
Palm Bay, FL, USA
LIC ID
9387
Current License Expiration Date
30/09/2025
Original Date
04/05/1983
Professional Rank Code
PS
Effective Date
01/01/1901
Board Action Indicator
Y
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Mailing Address Line 2
UNIT 101
Practice Location Address Line 1
1555 PORT MALABAR BLVD NE
Practice Location Address Line 2
UNIT 101
Practice Location Address City
PALM BAY
Practice Location Address State
FL
Practice Location Address Zipcode
32905
Prescribing Indicator
N
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