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Ravi Prasad
Ravi prasad
Avati nanjund...
Medical doctor
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
RAVI PRASAD AVATI NANJUNDAPPA
Job Title
Medical Doctor
Location
Jacksonville, FL, USA
LIC ID
137150
Current License Expiration Date
31/01/2026
Original Date
14/03/2018
Professional Rank Code
ME
Effective Date
14/03/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
1658 St Vincents Way
Practice Location Address Line 2
Suite 300
Practice Location Address City
MIDDLEBURG
Practice Location Address State
FL
Practice Location Address Zipcode
32068
Mode Code
NICA Exempt
Prescribing Indicator
N
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