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Mimi
Mimi
Groom
Ophthalmology
Medical doctor
Naples,
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Mimi Groom
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME65790
License Status
Clear/Active
License Issue Date
16/02/1994
License Expiry Date
31/01/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
MIMI GROOM
Job Title
Medical Doctor
Location
Naples, FL, USA
LIC ID
56674
Current License Expiration Date
31/01/2026
Original Date
16/02/1994
Professional Rank Code
ME
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
COLLIER
Practice Location Address Line 1
3455 PINE RIDGE RD
Practice Location Address City
NAPLES
Practice Location Address State
FL
Practice Location Address Zipcode
34109
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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