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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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ST. MARTIN, DACELIN
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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: |
PEDIM HEALTHCARE
1990 N PROSPECT AVE
LECANTO FL 34461
Address last updated on 8/30/2024 |
| Phone #: |
(352) 527-6888 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
35188 |
| Dated: |
9/25/2019 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Sleep Medicine
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ De Montemorelos, Esc De Med, Montemorelos, Nuevo Leon, Mexico |
| Graduated: |
6 /
1995 |
| CME Year: |
2025 |
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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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Sleep Medicine
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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