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Mithun
Mithun
Suresh
Dental
Miami, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Mithun Suresh
Job Title
Dental
Location
Miami, FL, USA
LIC ID
27136
Current License Expiration Date
28/02/2026
Original Date
10/03/2022
Professional Rank Code
DN
Effective Date
10/03/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Mailing Address Line 2
apt 54K
Practice Location Address Line 1
920 NE 30th Terrace
Practice Location Address Line 2
Suite 118
Practice Location Address City
HOMESTEAD
Practice Location Address State
FL
Practice Location Address Zipcode
33033
Prescribing Indicator
N
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