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Hanna
Hanna
Mitias
Medical doctor
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
Hanna Mitias
Job Title
Medical Doctor
Location
Jacksonville, FL, USA
LIC ID
134201
Current License Expiration Date
31/01/2024
Original Date
25/10/2017
Professional Rank Code
ME
Effective Date
25/10/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Mailing Address Line 2
Suite 22
Practice Location Address Line 1
11112 San Jose Blvd
Practice Location Address Line 2
Suite 22
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32223
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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