Practitioner Profile

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License Number: OS5229

Osteopathic Physician
License Status
Year Began Practicing
License Expiration Date
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)

Primary Practice Address
1300 E Burleigh Blvd

This practitioner DOES participate in the Medicaid program.

Staff Privileges

This practitioner currently holds staff privileges at the following hospital/medical/health institutions:

Institution Name City State
Email Address

Please contact at:

Other State Licenses

This practitioner has not indicated any additional state licensures.

Florida Birth-Related Neurological Injury Compensation Association
If you are a Florida Allopathic (MD) or Osteopathic (DO) Physician, you are required to provide proof of payment of the Florida Birth-Related Neurological Injury Compensation Association (NICA) assessment as required by section 766.314, Florida Statutes. Payment of the initial and annual assessment are required of all Florida Allopathic and Osteopathic Physicians who do not qualify for an exemption as set forth in section 766.314(4)(b)4, Florida Statutes.

This practitioner has indicated that he/she has submitted payment of the assessment.

Specialty Certification

The practitioner did not provide this mandatory information.

Financial Responsibility

I have hospital staff privileges and I have obtained and maintain professional liability coverage in an amount not less than $250,000 per claim, with a minimum annual aggregate of not less than $750,000,from an authorized insurer as defined under s.624.09 FS, from a surplus lines insurer as defined under s.626.914(2)FS, from a risk retention group as defined under s.627.942 FS, from the Joint Underwriting Association established under s.627.351(4)FS, or through a plan of self-insurance as provided in s.627.357 FS, or through a plan of self-insurance which meets the conditions specified for satisfying financial responsibility in s.766.110 FS.

ARNP Protocol Documents

Section 464.012(3), Florida Statutes was amended in the 2017 Legislative Session requiring that an established protocol be maintained at certain locations.

This section removed the requirement that the Board of Nursing reviews or maintains protocols at the department. Instead, established protocols must be maintained on site at the location(s) at which an advanced registered nurse practitioner practices, as well as any updates to protocols.

In the case of multiple supervising physicians in the same group, an advanced registered nurse practitioner must enter into a supervisory protocol with at least one physician within the physician group practice.

Content provided on the ARNP Protocols tab will no longer be updated, as of June 23, 2017. Here is a link to the law change: , see pages 6-7.

If you have further questions, please contact the Florida Board of Nursing at (850) 245-4125. The Board's website address for additional information is:

Document Type Last Updated Action
ARNP Protocol 07/12/2024 View Document