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Moussa
Moussa
Bazzi
Medical doctor
Dearborn Heights, United States
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Florida Health Care Practitioner Data Portal
Full name
Moussa Bazzi
Job Title
Medical Doctor
Location
Dearborn Heights, MI, USA
LIC ID
146539
Current License Expiration Date
31/01/2025
Original Date
29/12/2020
Professional Rank Code
ME
Effective Date
19/01/2024
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
4700 Greenfield road
Practice Location Address Line 2
Suite 2E
Practice Location Address City
DEARBORN
Practice Location Address State
MI
Practice Location Address Zipcode
48126
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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