Iyengar Bashyam S - Florida Health Professionals
| License Active Status Description | ACTIVE |
|---|---|
| County | ST.JOHNS |
| Address (Line 1) | 351 SAINT JOHNS FOREST BOULEVARD |
| Address (City) | ST. JOHNS |
| Address (State) | FL |
| Address (Zip Code) | 32259 |
| Profession | Medical Doctor |
 b_iyengar@hotmail.com | |
| File Number | 107340 |
| License Expiration Date | 1/31/2021 |
| Original Date | 7/21/2011 |
| Rank Code | ME |
| License Number | 110643 |
| Status Effective Date | 7/21/2011 |
| Phone Number (Area Code) | 973 |
|---|---|
| Phone Number | 986-7997 |
| Practice Location (Address Line1) | 611 East Adams Street |
| Practice Location (City) | JACKSONVILLE |
| Practice Location (State) | FL |
| Practice Location (Zip Code) | 32202 |
| Prescribe Ind | Y |
| Full Name | IYENGAR BASHYAM S |
| Board Action Indicator | N |
| License Status Description | CLEAR |
Other entries in this dataset
- KRAUSE PHILIP R
- BUSTAMANTE JORGE J
- SOTO RAPHAEL A
- MELENDEZ-DAVIDSON JOSEPH W
- LEI JUNYI
- LIVINGSTON JEFFREY C
- HIRSCH JEFFREY D
- RAJ MANU
- GLAZE MICHAEL A
- WHITE WAIN L
- KAWASAKI AMIE
- GEE STEPHANIE S
- CRESPO ANTONIO
- LAZCANO GABRIEL G
- SMITH S B
- ROZNOWSKI ADRIAN M
- ROSANELLI EDWARD G
- CHALASANI SIRISHA
- LI JONATHAN H
- LOESSIN SCOTT J
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