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Tisha
Tisha
Bridge
Physician assistant
Medical
Fort Pierce, United States
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Reveal information
Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Tisha Bridge
Job Title
Physician Assistant
Qualifications
Prescribing
License Number
PA9110899
License Status
Clear/Active
License Issue Date
27/10/2017
License Expiry Date
31/01/2026
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
Tisha Bridge
Job Title
Physician Assistant
Location
Fort Pierce, FL, USA
LIC ID
14002
Current License Expiration Date
31/01/2026
Original Date
27/10/2017
Professional Rank Code
PA
Effective Date
27/10/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.LUCIE
Practice Location Address Line 1
5000 Okeechobee Road
Practice Location Address Line 2
Suite B
Practice Location Address City
FORT PIERCE
Practice Location Address State
FL
Practice Location Address Zipcode
34947
Mode Code
Prescribing
Prescribing Indicator
N
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