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Yiliam
Yiliam
Clavelo
Physician assistant
Lakewood Ranch, United States
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Florida Health Care Practitioner Data Portal
Full name
YILIAM CLAVELO
Job Title
Physician Assistant
Location
Lakewood Ranch, FL, USA
LIC ID
8784
Current License Expiration Date
31/01/2026
Original Date
23/03/2011
Professional Rank Code
PA
Effective Date
23/03/2011
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MANATEE
Practice Location Address Line 1
1921 Waldemere St
Practice Location Address City
SARASOTA
Practice Location Address State
FL
Practice Location Address Zipcode
34239
Mode Code
Prescribing
Prescribing Indicator
N
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