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Otavia
Otavia
Edwards
Owner
Registered nurse
Riverview, United States
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Florida Health Care Practitioner Data Portal
Full name
Otavia Edwards
Job Title
Registered Nurse
Location
Riverview, FL, USA
LIC ID
585827
Current License Expiration Date
30/04/2025
Original Date
13/07/2017
Professional Rank Code
RN
Effective Date
13/07/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
12902 Magnolia Drive
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33612
Mode Code
Single-state License
Prescribing Indicator
N
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