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Juan
Juan
Martin lissabet
Medical doctor- temporary area o...
Orlando, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
JUAN MARTIN LISSABET
Job Title
Medical Doctor- Temporary Area of Critical Need
Location
Orlando, FL, USA
LIC ID
1181
Current License Expiration Date
31/01/2026
Original Date
25/08/2017
Professional Rank Code
ACN
Effective Date
25/08/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
684 State Road 60 W
Practice Location Address City
LAKE WALES
Practice Location Address State
FL
Practice Location Address Zipcode
33853
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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