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Seyed Ali
Seyed ali
Montazeri
Medical doctor
JACKSONVILLE, US
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Florida Health Care Practitioner Data Portal
Full name
Seyed Ali Montazeri
Job Title
Medical Doctor
Location
Jacksonville
LIC ID
167236
Current License Expiration Date
31/01/2025
Original Date
25/07/2023
Professional Rank Code
ME
Effective Date
25/07/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
4500 San Pablo Rd
Practice Location Address Line 2
Mayo Building, 2nd Floor, 002S
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32224
Mode Code
NICA Exempt, In Training Program Receives Fee Reducti
Prescribing Indicator
N
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