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Ereni
Ereni
Fotopoulos
Physician assistant
New Port Richey, United States
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Florida Health Care Practitioner Data Portal
Full name
Ereni Fotopoulos
Job Title
Physician Assistant
Location
New Port Richey, FL, USA
LIC ID
17958
Current License Expiration Date
31/01/2026
Original Date
08/02/2021
Professional Rank Code
PA
Effective Date
08/02/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PASCO
Mailing Address Line 2
ste 1
Practice Location Address Line 1
5534 Gulf Drive
Practice Location Address Line 2
ste 1
Practice Location Address City
NEW PORT RICHEY
Practice Location Address State
FL
Practice Location Address Zipcode
34652
Mode Code
Prescribing
Prescribing Indicator
N
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