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Jacob
Jacob
Skinner
Dental
Tampa, United States
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Florida Health Care Practitioner Data Portal
Full name
JACOB SKINNER
Job Title
Dental
Location
Tampa, FL, USA
LIC ID
15740
Current License Expiration Date
28/02/2026
Original Date
30/12/2003
Professional Rank Code
DN
Effective Date
30/12/2003
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
5121 EHRLICH ROAD
Practice Location Address Line 2
SUITE 105
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33624
Prescribing Indicator
N
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