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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JACKSON-GALLEGOS, MASHIRA DENISHA
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
106 WHITAKER ROAD
LUTZ FL 33549
Address last updated on 11/26/2023 |
| Phone #: |
(813) 586-3667 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
34433 |
| Dated: |
12/26/2018 |
| Expires: |
12/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Morehouse Sch Of Med, Atlanta Ga 30310 |
| Graduated: |
5 /
2007 |
| CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
106 WHITAKER ROAD
LUTZ FL 33549
Phone #:
(813) 586-3667
Fax #:
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Mon: 10:00AM - 10:00PM TELEMEDICINE ONLY
Tue: 10:00AM - 10:00PM TELEMED ONLY
Wed: 10:00AM - 10:00PM TELEMED ONLY
Thu: 10:00AM - 10:00PM TELEMED ONLY
Fri: 10:00AM - 10:00PM TELEMED ONLY
Sat: 9:00AM - 5:00PM IN OFFICE AND TELEMED ONLY
Sun: 9:00AM - 5:00PM IN OFFICE/TELEMED |
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