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Guillermina
Guillermina
Elizondo
Optician
Windermere, United States
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Florida Health Care Practitioner Data Portal
Full name
GUILLERMINA Elizondo
Job Title
Optician
Location
Windermere, FL, USA
LIC ID
5331
Current License Expiration Date
31/12/2024
Original Date
07/01/2004
Professional Rank Code
DO
Effective Date
07/01/2004
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
2700 Walmart Vision Center
Practice Location Address Line 2
Clearlake Road
Practice Location Address City
COCOA
Practice Location Address State
FL
Practice Location Address Zipcode
32922
Mode Code
Board Certified
Prescribing Indicator
N
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