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Pallavi
Pallavi
Cherukupally
Medical doctor
Jacksonville Beach, United States
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Florida Health Care Practitioner Data Portal
Full name
PALLAVI CHERUKUPALLY
Job Title
Medical Doctor
Location
Jacksonville Beach, FL, USA
Title
MD
LIC ID
127645
Current License Expiration Date
31/01/2026
Original Date
29/03/2016
Professional Rank Code
ME
Effective Date
29/03/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
2100 Ocean Dr S, 5D
Practice Location Address City
JACKSONVILLE BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
32250
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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