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Sushma
Sushma
Patlolla
Medical doctor
Windermere, United States
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Florida Health Care Practitioner Data Portal
Full name
Sushma Patlolla
Job Title
Medical Doctor
Location
Windermere, FL, USA
LIC ID
160574
Current License Expiration Date
31/01/2026
Original Date
15/06/2022
Professional Rank Code
ME
Effective Date
15/06/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Mailing Address Line 2
Windermere
Practice Location Address Line 1
9400 TURKEY LAKE RD # 452
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32819
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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