Secretary of State
Board of Nursing
PANTEA TAVAKOLI KHAZRAEE
Nursing - Dentist
License number
DN13936
Date granted
01/30/1995
Date expires
02/28/2016
Class
Nursing - Dentist
Status
Active
Address
900 NORTH SWALLOW TAIL DRIVE SUITE 103 PORT ORANGE,FL32129
nursingflorida.org
ID 31859442
LAST UPDATED 2026-05-20 05:45:49 UTC
LAST UPDATED 2026-05-20 05:45:49 UTC
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