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Deogracias
Deogracias
Pena
Medical doctor
Pediatric nephrology
Orlando,
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Deogracias Pena
Job Title
Medical Doctor
License Number
ME56326
License Status
Clear/Active
License Issue Date
24/04/1989
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
DEOGRACIAS PENA
Job Title
Medical Doctor
Location
Orlando, FL, USA
LIC ID
47255
Current License Expiration Date
31/01/2025
Original Date
24/04/1989
Professional Rank Code
ME
Effective Date
02/07/2013
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
615 E. PRINCETON ST.
Practice Location Address Line 2
STE. 401
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32803
Prescribing Indicator
N
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