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Justin
Justin
Boccardo
Vascular surgery
Medical doctor
Fort Pierce,
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Justin Boccardo
Job Title
Medical Doctor
License Number
ME125876
License Status
Clear/Active
License Issue Date
15/10/2015
License Expiry Date
31/01/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
JUSTIN BOCCARDO
Job Title
Medical Doctor
Location
Fort Pierce, FL, USA
LIC ID
125779
Current License Expiration Date
31/01/2026
Original Date
15/10/2015
Professional Rank Code
ME
Effective Date
15/10/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.LUCIE
Mailing Address Line 2
Suite 4
Practice Location Address Line 1
2401 Frist Blvd.
Practice Location Address Line 2
Suite 4
Practice Location Address City
FORT PIERCE
Practice Location Address State
FL
Practice Location Address Zipcode
34950
Prescribing Indicator
Y
Florida Health Source
Full name
Justin Boccardo
Job Title
Medical Doctor
Location
34950, Fort Pierce, FL, USA
License Status
CLEAR/ACTIVE
Year Began Practicing
01/01/2003
Other State Licenses State
LAWNWOOD REGIONAL MEDICAL CENTER
Other State Licenses Profession
FORT PIERCE
Institution Name 1
UNIVERSIDAD CATOLICA DE CORDOBA
Dates of Attendance 1
01/03/1997 - 21/12/2002
Graduation Date 1
21/12/2002
Speciality Board
AMERICAN BOARD OF SURGERY
Certification
GS - VASCULAR SURGERY
License Expiry Date
31/01/2026
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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