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Gonzalo
Gonzalo
Mosquera
Medical doctor
Medical doctor
Orlando,
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Gonzalo Mosquera
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME71342
License Status
Clear/Active
License Issue Date
21/08/1996
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
GONZALO MOSQUERA
Job Title
Medical Doctor
Location
Orlando, FL, USA
LIC ID
62217
Current License Expiration Date
31/01/2025
Original Date
21/08/1996
Professional Rank Code
ME
Effective Date
14/01/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
6735 conroy rd
Practice Location Address Line 2
suit 407
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32835
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
Florida Health Source
Full name
Gonzalo Mosquera
Job Title
Medical Doctor
Location
32835, Orlando, FL, USA
License Status
CLEAR/ACTIVE
Year Began Practicing
10/08/1996
Other State Licenses Profession
BRANDON
Institution Name 1
SETTON HALL UNIVERSITY
Graduation Date 1
01/06/1996
Graduation Date 2
01/01/0001
License Expiry Date
31/01/2025
Memberships
This practitioner has not indicated any committees on which they serve for any health entity with which they are affiliated.
Board
BOARD OF MEDICINE
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