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Jason
Jason
Fan
Ophthalmology
Medical doctor
Miami,
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Jason Fan
Job Title
Resident Registration
License Number
TRN30226
License Status
Clear/Active
License Issue Date
18/04/2020
License Expiry Date
30/06/2024
Source Type
Professional Profile
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Florida Health Care Practitioner Data Portal
Full name
Jason Fan
Job Title
Medical Doctor
Location
Coconut Grove
LIC ID
166561
Current License Expiration Date
31/01/2025
Original Date
27/03/2023
Professional Rank Code
ME
Effective Date
27/03/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
Bascom Palmer Eye Institute
Practice Location Address Line 2
900 NW 17th Street
Practice Location Address City
MIAMI
Practice Location Address State
FL
Practice Location Address Zipcode
33136
Prescribing Indicator
N
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Florida Health Source
Full name
Jason Fan
Job Title
Medical Doctor
Location
33136, Miami, FL, USA
License Status
CLEAR/ACTIVE
Institution Name 1
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Dates of Attendance 1
01/07/2012 - 01/07/2019
Graduation Date 1
01/07/2019
License Expiry Date
31/01/2025
Memberships
This practitioner has not indicated any committees on which they serve for any health entity with which they are affiliated.
Affiliations
This practitioner has not provided any national, state, local, county, or professional affiliations.
Board
BOARD OF MEDICINE
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