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Mudit
Mudit
Dutta
Registration for resident - hse ...
Coral Springs, United States
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Florida Health Care Practitioner Data Portal
Full name
Mudit Dutta
Job Title
Registration for Resident/HSE Physician
Location
Coral Springs, FL, USA
LIC ID
40384
Current License Expiration Date
30/06/2024
Original Date
16/06/2022
Professional Rank Code
TRN
Effective Date
16/06/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BROWARD
Practice Location Address Line 1
12004 NW 49th Drive
Practice Location Address City
CORAL SPRINGS
Practice Location Address State
FL
Practice Location Address Zipcode
33076
Prescribing Indicator
N
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