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Edwin
Edwin
Gray
Optician
Tampa, United States
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Florida Health Care Practitioner Data Portal
Full name
EDWIN GRAY
Job Title
Optician
Location
Tampa, FL, USA
LIC ID
5224
Current License Expiration Date
31/12/2024
Original Date
11/02/2003
Professional Rank Code
DO
Effective Date
29/01/2013
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
7922 W. HILLSBOROUGH AVENUE
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33615
Mode Code
Board Certified
Prescribing Indicator
N
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