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Prabodh
Prabodh
Mehta
Medical doctor
Elizabethtown, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
PRABODH MEHTA
Job Title
Medical Doctor
Location
Elizabethtown, KY, USA
LIC ID
164394
Current License Expiration Date
31/01/2025
Original Date
11/10/2022
Professional Rank Code
ME
Effective Date
11/10/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
1324 WOODLAND DRIVE
Practice Location Address Line 2
SUITE - A
Practice Location Address City
ELIZABETHTOWN
Practice Location Address State
KY
Practice Location Address Zipcode
42701
Prescribing Indicator
N
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