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Maria Thereza
Maria thereza
Barbosa
Medical doctor
Ponte Vedra Beach, United States
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Florida Health Care Practitioner Data Portal
Full name
MARIA THEREZA BARBOSA
Job Title
Medical Doctor
Location
Ponte Vedra Beach, FL, USA
LIC ID
113301
Current License Expiration Date
31/01/2025
Original Date
19/09/2012
Professional Rank Code
ME
Effective Date
19/09/2012
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.JOHNS
Practice Location Address Line 1
4500 SAN PABLO ROAD
Practice Location Address Line 2
MAYO CLINIC
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32224
Prescribing Indicator
N
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