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Iasmina
Iasmina
Jivanov
Medical doctor
Fort Myers, United States
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Florida Health Care Practitioner Data Portal
Full name
IASMINA JIVANOV
Job Title
Medical Doctor
Location
Fort Myers, FL, USA
LIC ID
119804
Current License Expiration Date
31/01/2026
Original Date
15/05/2014
Professional Rank Code
ME
Effective Date
15/05/2014
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEE
Practice Location Address Line 1
DEL PRADO BLVD
Practice Location Address Line 2
708
Practice Location Address City
CAPE CORAL
Practice Location Address State
FL
Practice Location Address Zipcode
33990
Prescribing Indicator
Y
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