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Ricky
Ricky
Amimo
Physician assistant
Winter Park, United States
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Florida Health Care Practitioner Data Portal
Full name
Ricky Amimo
Job Title
Physician Assistant
Location
Winter Park, FL, USA
LIC ID
14804
Current License Expiration Date
31/01/2026
Original Date
31/07/2018
Professional Rank Code
PA
Effective Date
31/07/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Mailing Address Line 2
Apt. 201
Practice Location Address Line 1
2415 N Orange Ave
Practice Location Address Line 2
#302
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32804
Mode Code
Prescribing
Prescribing Indicator
N
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