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Marie Therese
Marie therese
Pavini
Medical doctor
St. Augustine, United States
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Florida Health Care Practitioner Data Portal
Full name
MARIE THERESE PAVINI
Job Title
Medical Doctor
Location
St. Augustine, FL, USA
LIC ID
129705
Current License Expiration Date
31/01/2025
Original Date
10/10/2016
Professional Rank Code
ME
Effective Date
10/10/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.JOHNS
Practice Location Address Line 1
131 Twine Street
Practice Location Address City
ST AUGUSTINE
Practice Location Address State
FL
Practice Location Address Zipcode
32084
Prescribing Indicator
N
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