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Prasad
Prasad
Chalasani
Physician/owner
Medical doctor
Fort Pierce, United States
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Prasad Chalasani
Job Title
Medical Doctor
License Number
ME72976
License Status
Clear/Active
License Issue Date
05/05/1997
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
PRASAD CHALASANI
Job Title
Medical Doctor
Location
Fort Pierce, FL, USA
LIC ID
63851
Current License Expiration Date
31/01/2025
Original Date
05/05/1997
Professional Rank Code
ME
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.LUCIE
Practice Location Address Line 1
1900 NEBRASKA AVENUE #9
Practice Location Address City
FORT PIERCE
Practice Location Address State
FL
Practice Location Address Zipcode
34950
Prescribing Indicator
N
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