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Gerald
Gerald
Micalizzi
Medical doctor
Bridgeport, United States
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Florida Health Care Practitioner Data Portal
Full name
GERALD MICALIZZI
Job Title
Medical Doctor
Location
Bridgeport, CT, USA
LIC ID
127810
Current License Expiration Date
31/01/2025
Original Date
07/10/2020
Professional Rank Code
ME
Effective Date
07/10/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
8836 N 23RD AVE
Practice Location Address Line 2
SUITE # B1
Practice Location Address City
PHOENIX
Practice Location Address State
AZ
Practice Location Address Zipcode
85021
Prescribing Indicator
N
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