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Jessica
Jessica
Canosa
Registration for resident - hse ...
West Miami, United States
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Florida Health Care Practitioner Data Portal
Full name
Jessica Canosa
Job Title
Registration for Resident/HSE Physician
Location
West Miami, FL, USA
LIC ID
40642
Current License Expiration Date
30/06/2024
Original Date
06/04/2022
Professional Rank Code
TRN
Effective Date
06/04/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
800 Meadows Rd.
Practice Location Address City
BOCA RATON
Practice Location Address State
FL
Practice Location Address Zipcode
33486
Prescribing Indicator
N
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