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John
John
Roddenberry
Medical doctor
President owner
Bradenton, United States
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Florida Health Care Practitioner Data Portal
Full name
JOHN RODDENBERRY
Job Title
Medical Doctor
Location
Bradenton, FL, USA
LIC ID
41651
Current License Expiration Date
31/01/2025
Original Date
19/02/1987
Professional Rank Code
ME
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MANATEE
Practice Location Address Line 1
1886 59TH ST W
Practice Location Address City
BRADENTON
Practice Location Address State
FL
Practice Location Address Zipcode
34209
Prescribing Indicator
Y
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