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Ghanshyambhai
Ghanshyambhai
Patel
Psychiatry
Medical doctor
Lake City,
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Florida Health Care Practitioner Data Portal
Full name
GHANSHYAMBHAI PATEL
Job Title
Medical Doctor
Location
Lake City, FL, USA
LIC ID
69278
Current License Expiration Date
31/01/2026
Original Date
19/01/1999
Professional Rank Code
ME
Effective Date
19/01/1999
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
COLUMBIA
Mailing Address Line 2
619 SOUTH MARION AVENUE
Practice Location Address Line 1
LAKE CITY VA MEDICAL CENTER
Practice Location Address Line 2
619 SOUTH MARION AVENUE
Practice Location Address City
LAKE CITY
Practice Location Address State
FL
Practice Location Address Zipcode
32025
Prescribing Indicator
N
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