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Robert
Robert
Colucci
Osteopathic physician
Psychiatry
Ormond Beach,
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Florida Health Care Practitioner Data Portal
Full name
Robert Colucci
Job Title
Osteopathic Physician
Location
Ormond Beach, FL, USA
LIC ID
17784
Current License Expiration Date
31/03/2024
Original Date
13/08/2021
Professional Rank Code
OS
Effective Date
13/08/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Practice Location Address Line 1
740 Dunlawton Ave
Practice Location Address City
PORT ORANGE
Practice Location Address State
FL
Practice Location Address Zipcode
32127
Prescribing Indicator
N
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