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Samuel
Samuel
Fortune
Pharmacist
Miami, United States
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Florida Board of Medicine
Board Name
BOARD OF PHARMACY
Full name
Samuel Fortune
Job Title
Pharmacist
Qualifications
Certified To Administer Immunizations
License Number
PS64848
License Status
Clear/Active
License Issue Date
14/09/2022
License Expiry Date
30/09/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
SAMUEL FORTUNE
Job Title
Pharmacist
Location
Miami, FL, USA
LIC ID
60712
Current License Expiration Date
30/09/2025
Original Date
14/09/2022
Professional Rank Code
PS
Effective Date
14/09/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
14045 NE 12 AVE
Practice Location Address City
MIAMI
Practice Location Address State
FL
Practice Location Address Zipcode
33161
Mode Code
Certified To Administer Immunizations
Prescribing Indicator
N
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