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Demi
Demi
Soulet
Physician assistant
Fort Myers, United States
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Florida Health Care Practitioner Data Portal
Full name
Demi Soulet
Job Title
Physician Assistant
Location
Fort Myers, FL, USA
LIC ID
14209
Current License Expiration Date
31/01/2026
Original Date
24/01/2018
Professional Rank Code
PA
Effective Date
24/01/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEE
Practice Location Address Line 1
14050 Town Loop Blvd
Practice Location Address Line 2
#203
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32837
Mode Code
Dispensing Practitioner, Prescribing
Prescribing Indicator
N
Dispensing Indicator
Y
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