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Mark
Mark
Nagrani
Medical doctor
Medical director
New Smyrna Beach, United States
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Florida Health Care Practitioner Data Portal
Full name
MARK NAGRANI
Job Title
Medical Doctor
Location
New Smyrna Beach, FL, USA
LIC ID
158472
Current License Expiration Date
31/01/2026
Original Date
20/01/2022
Professional Rank Code
ME
Effective Date
20/01/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Practice Location Address Line 1
612 palmetto st
Practice Location Address City
NEW SMYRNA BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
32168
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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