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Timothy
Timothy
Cassidy
Advanced practice registered nurse
Owner
Lake City, United States
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Florida Health Care Practitioner Data Portal
Full name
TIMOTHY CASSIDY
Job Title
Advanced Practice Registered Nurse
Location
Lake City, FL, USA
LIC ID
293738
Current License Expiration Date
31/07/2024
Original Date
27/08/2018
Professional Rank Code
APRN
Effective Date
27/08/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
COLUMBIA
Practice Location Address Line 1
263 SW Professional Glen
Practice Location Address City
LAKE CITY
Practice Location Address State
FL
Practice Location Address Zipcode
32025
Mode Code
Autonomous Practice APRN, Dispensing Practitioner, Nurse Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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