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Jaime
Jaime
Gonzalez
Medical doctor
Internal medicine
Clermont, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
JAIME GONZALEZ
Job Title
Medical Doctor
Location
Clermont, FL, USA
LIC ID
41041
Current License Expiration Date
31/01/2025
Original Date
30/10/1986
Professional Rank Code
ME
Effective Date
15/12/2023
Board Action Indicator
Y
License Status Description
OBLIGATIONS
License Active Status Description
ACTIVE
Country Description
LAKE
Practice Location Address Line 1
265 WEST STATE ROAD 50
Practice Location Address City
CLERMONT
Practice Location Address State
FL
Practice Location Address Zipcode
34711
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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