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Hayley
Hayley
Bomwell
Physician assistant
Coconut Creek, United States
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Florida Health Care Practitioner Data Portal
Full name
Hayley Bomwell
Job Title
Physician Assistant
Location
Coconut Creek, FL, USA
LIC ID
16206
Current License Expiration Date
31/01/2026
Original Date
16/09/2019
Professional Rank Code
PA
Effective Date
16/09/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BROWARD
Practice Location Address Line 1
7421 N University Drive
Practice Location Address Line 2
Suite 107
Practice Location Address City
TAMARAC
Practice Location Address State
FL
Practice Location Address Zipcode
33321
Mode Code
Prescribing
Prescribing Indicator
N
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