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Revathi
Revathi
Vijayaraghavan
Physician assistant
Windermere, United States
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Florida Health Care Practitioner Data Portal
Full name
Revathi Vijayaraghavan
Job Title
Physician Assistant
Location
Windermere, FL, USA
LIC ID
17279
Current License Expiration Date
31/01/2026
Original Date
05/10/2020
Professional Rank Code
PA
Effective Date
05/10/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
11261 Rapallo Lane
Practice Location Address City
WINDERMERE
Practice Location Address State
FL
Practice Location Address Zipcode
34786
Mode Code
Prescribing
Prescribing Indicator
N
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