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Giselle
Giselle
Vivaldi
Medical doctor
Physical medicine & rehabilitation
Miami,
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Giselle Vivaldi
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME124290
License Status
Clear/Active
License Issue Date
22/05/2015
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
GISELLE VIVALDI
Job Title
Medical Doctor
Location
Miami, FL, USA
LIC ID
123143
Current License Expiration Date
31/01/2025
Original Date
22/05/2015
Professional Rank Code
ME
Effective Date
22/05/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
2525 SW 75th Ave
Practice Location Address City
MIAMI
Practice Location Address State
FL
Practice Location Address Zipcode
33155
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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