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Stephanie
Stephanie
Powdar
Physician assistant
Gainesville, United States
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Florida Health Care Practitioner Data Portal
Full name
STEPHANIE POWDAR
Job Title
Physician Assistant
Location
Gainesville, FL, USA
LIC ID
20596
Current License Expiration Date
31/01/2024
Original Date
31/08/2022
Professional Rank Code
PA
Effective Date
31/08/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ALACHUA
Mailing Address Line 2
Apt 315
Practice Location Address Line 1
550 Georgia Street
Practice Location Address City
STARKE
Practice Location Address State
FL
Practice Location Address Zipcode
32091
Mode Code
Prescribing
Prescribing Indicator
N
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