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Diane
Diane
Thompson
Owner/physician
Medical doctor
Mangonia Park, United States
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Diane Thompson
Job Title
Medical Doctor
License Number
ME161062
License Status
Clear/Active
License Issue Date
22/02/2023
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
Diane Thompson
Job Title
Medical Doctor
Location
West Palm Bch
LIC ID
165190
Current License Expiration Date
31/01/2025
Original Date
22/02/2023
Professional Rank Code
ME
Effective Date
22/02/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Mailing Address Line 2
700 S. Rosemary Ave suite 204
Practice Location Address Line 1
St. Mary's Medical Center
Practice Location Address Line 2
901 45th Street
Practice Location Address City
WEST PALM BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
33407
Prescribing Indicator
Y
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