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Mike
Mike
Destefano
Paramedic
Melbourne, United States
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Florida Health Care Practitioner Data Portal
Full name
MIKE DESTEFANO
Job Title
Paramedic
Location
Melbourne, FL, USA
LIC ID
29696
Current License Expiration Date
01/12/2024
Original Date
06/12/2007
Professional Rank Code
PMD
Effective Date
05/10/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Practice Location Address Line 1
1040 S. Florida Ave
Practice Location Address City
ROCKLEDGE
Practice Location Address State
FL
Practice Location Address Zipcode
32955
Prescribing Indicator
N
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