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Hannie
Hannie
Patel
Medical doctor
Lutz, United States
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Florida Health Care Practitioner Data Portal
Full name
HANNIE PATEL
Job Title
Medical Doctor
Location
Lutz, FL, USA
LIC ID
94002
Current License Expiration Date
31/01/2025
Original Date
25/08/2006
Professional Rank Code
ME
Effective Date
16/01/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
SUITE 300
Practice Location Address Line 1
4211 VAN DYKE ROAD suite 200
Practice Location Address Line 2
SUITE 200
Practice Location Address City
LUTZ
Practice Location Address State
FL
Practice Location Address Zipcode
33558
Prescribing Indicator
Y
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