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Subrato
Subrato
Deb
Thoracic surgery (cardiothoracic...
Medical doctor
Jacksonville,
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Subrato Deb
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME142391
License Status
Clear/Active
License Issue Date
29/08/2019
License Expiry Date
31/01/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
Subrato Deb
Job Title
Medical Doctor
Location
Jacksonville, FL, USA
LIC ID
144554
Current License Expiration Date
31/01/2026
Original Date
29/08/2019
Professional Rank Code
ME
Effective Date
29/08/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
1301 Palm Avenue
Practice Location Address Line 2
3rd Floor
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32207
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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