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Jorge
Jorge
Gomez-bustamante
Medical doctor- temporary area o...
Riverview, United States
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Florida Health Care Practitioner Data Portal
Full name
JORGE GOMEZ-BUSTAMANTE
Job Title
Medical Doctor- Temporary Area of Critical Need
Location
Riverview, FL, USA
LIC ID
1231
Current License Expiration Date
31/01/2026
Original Date
21/11/2017
Professional Rank Code
ACN
Effective Date
21/11/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
10508 Gibsonton Drive
Practice Location Address City
RIVERVIEW
Practice Location Address State
FL
Practice Location Address Zipcode
33578
Prescribing Indicator
Y
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