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Himabindu
Himabindu
Gandam venkata
Medical doctor
Orange City, United States
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Florida Health Care Practitioner Data Portal
Full name
HIMABINDU GANDAM VENKATA
Job Title
Medical Doctor
Location
Orange City, FL, USA
LIC ID
154792
Current License Expiration Date
31/01/2025
Original Date
01/06/2021
Professional Rank Code
ME
Effective Date
01/06/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Mailing Address Line 2
suite 104
Practice Location Address Line 1
2720 Rebecca Lane
Practice Location Address Line 2
suite 104
Practice Location Address City
ORANGE CITY
Practice Location Address State
FL
Practice Location Address Zipcode
32763
Prescribing Indicator
Y
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