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Marielle
Marielle
Buonocore
Physician assistant
Boca Raton, United States
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Florida Health Care Practitioner Data Portal
Full name
Marielle Buonocore
Job Title
Physician Assistant
Location
Boca Raton, FL, USA
LIC ID
18333
Current License Expiration Date
31/01/2026
Original Date
12/04/2021
Professional Rank Code
PA
Effective Date
12/04/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Practice Location Address Line 1
12957 Palms West Drive
Practice Location Address Line 2
Suite 102
Practice Location Address City
LOXAHATCHEE
Practice Location Address State
FL
Practice Location Address Zipcode
33470
Mode Code
Prescribing
Prescribing Indicator
N
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