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Taylor
Taylor
Smith
Osteopathic resident registration
Spring, United States
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Florida Health Care Practitioner Data Portal
Full name
Taylor Smith
Job Title
Osteopathic Resident Registration
Location
Altamonte Spring
LIC ID
9572
Current License Expiration Date
30/06/2024
Original Date
31/05/2023
Professional Rank Code
UO
Effective Date
31/05/2023
Board Action Indicator
N
License Status Description
CLEAR
Country Description
SEMINOLE
Mailing Address Line 2
Apt 420
Practice Location Address Line 1
285 Uptown Blvd
Practice Location Address Line 2
Apt 420
Practice Location Address City
ALTAMONTE SPRINGS
Practice Location Address State
FL
Practice Location Address Zipcode
32701
Prescribing Indicator
N
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