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Mikala
Mikala
Blake
Paramedic
Orlando, United States
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Florida Health Care Practitioner Data Portal
Full name
MIKALA BLAKE
Job Title
Paramedic
Location
Orlando, FL, USA
LIC ID
46865
Current License Expiration Date
01/12/2024
Original Date
10/02/2016
Professional Rank Code
PMD
Effective Date
10/02/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Mailing Address Line 2
Apt 5
Practice Location Address Line 1
4591 S Kirkman Rd
Practice Location Address Line 2
Apt 5
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32811
Prescribing Indicator
N
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