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Tammy
Tammy
Mitchell
Physician assistant
Medical
Gulf Breeze,
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Florida Board of Medicine
Board Name
BOARD OF CLINICAL LABORATORY PERSONNEL
Full name
Tammy Mitchell
Job Title
Clinical Laboratory Technologist
Qualifications
Microbiology Technologist
License Number
TN27862
License Status
Clear/Active
License Issue Date
16/12/1988
License Expiry Date
31/08/2024
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
TAMMY MITCHELL
Job Title
Physician Assistant
Location
Gulf Breeze, FL, USA
LIC ID
10644
Current License Expiration Date
31/01/2026
Original Date
14/10/2013
Professional Rank Code
PA
Effective Date
14/10/2013
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SANTA ROSA
Practice Location Address Line 1
2819 CLEARLAKE PLACE
Practice Location Address City
GULF BREEZE
Practice Location Address State
FL
Practice Location Address Zipcode
32563
Mode Code
Prescribing
Prescribing Indicator
N
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