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Lourdes
Lourdes
Mosley
Family doctor / general practiti...
Medical
Tallahassee,
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Florida Health Care Practitioner Data Portal
Full name
LOURDES MOSLEY
Job Title
Physician Assistant
Location
Tallahassee, FL, USA
LIC ID
2309
Current License Expiration Date
31/01/2026
Original Date
16/10/1998
Professional Rank Code
PA
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEON
Practice Location Address Line 1
1415 Timberlane Road Suite 416
Practice Location Address Line 2
Sanitas Medical Center
Practice Location Address City
TALLAHASSEE
Practice Location Address State
FL
Practice Location Address Zipcode
32312
Mode Code
Dispensing Practitioner, Prescribing
Prescribing Indicator
N
Dispensing Indicator
Y
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