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Jacob
Jacob
Ivey
Podiatric resident registration
Winter Haven, United States
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Florida Health Care Practitioner Data Portal
Full name
JACOB IVEY
Job Title
Podiatric Resident Registration
Location
Winter Haven, FL, USA
LIC ID
744
Current License Expiration Date
30/06/2024
Original Date
16/06/2021
Professional Rank Code
PR
Effective Date
16/06/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
POLK
Practice Location Address Line 1
7727 LAKE UNDERHILL RD
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32822
Prescribing Indicator
N
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