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Roger
Roger
Bassin
Medical doctor
Viera West, United States
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•••••••@drbassin.com
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
ROGER BASSIN
Job Title
Medical Doctor
Location
Viera
LIC ID
82175
Current License Expiration Date
31/01/2026
Original Date
25/07/2002
Professional Rank Code
ME
Effective Date
17/04/2013
Board Action Indicator
Y
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Mailing Address Line 2
SUITE 103
Practice Location Address Line 1
1705 BERGLUND LANE
Practice Location Address Line 2
SUITE 103
Practice Location Address City
VIERA
Practice Location Address State
FL
Practice Location Address Zipcode
32940
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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