License Verification

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MICHAEL LORNE SUSSMAN

License Number: PA9107280

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9107280
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/24/2013
Address of Record
119 OAKFIELD DR.
BRANDON REGIONAL HOSPITAL
BRANDON, FL 33511
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
7171 N. DALE MABRY HWY. FLORIDA HOSPTIAL CARROLLWOOD
TAMPA, FL 33614
Address
1395 South Pinellas Ave. Florida Hospital North Pinellas
TARPON SPRINGS, FL 34689
Address
7050 Gall Blvd. Florida Hospital Zephyrhills
ZEPHYRHILLS, FL 33541
Address
533 CARLTON ST. FLORIDA HOSPITAL WAUCHULA
WAUCHULA, FL 33873
Address
533 Carlton St. Florida Hospital Wauchula
WAUCHULA, FL 33873
Address
735 S. 5TH AVE.
WAUCHULA, FL 33873
Address
2600 BRUCE B. DOWNS BLVD.
WESLEY CHAPEL, FL 33544
Address
34106 US 19 N.
PALM HARBOR, FL 34684
Address
1210 US 27 N.
LAKE PLACID, FL 33852
Address
4200 SUN 'N LAKE BLVD.
SEBRING, FL 33872
Address
16625 SR 54
LAND O LAKES, FL 34638
Address
3065 JAMES L. REDMAN PARKWAY BRANDON PLANT CITY FREE STANDING EMERGEN
PLANT CITY, FL 33563
Address
3100 E. FLETCHER AVE FLORIDA HOSPITAL TAMPA
TAMPA, FL 33613
Name Relationship Profession License Effective Date
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 12/01/2023
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
AGDAMAG, PATRICK LEE Supervising Prescribing Practitioner Medical Doctor 104157 12/30/2015
AGUAYO, ELLIOTT JAMES Supervising Prescribing Practitioner Medical Doctor 118692 12/19/2015
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 09/01/2023
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 11/01/2023
ATEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 109582 02/08/2016
BALLARINI, V JOSEPH JOHN Supervising Prescribing Practitioner Osteopathic Physician 11220 10/01/2023
BARNES, RICHARD R JR Supervising Prescribing Practitioner Medical Doctor 69285 11/01/2023
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 11/01/2024
BARRON, SCOTT ALAN Supervising Prescribing Practitioner Medical Doctor 107217 02/08/2016
BERGMAN, JEFFERY JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 11615 09/01/2023
BHATT, SUMEET RAJ MD Supervising Prescribing Practitioner Medical Doctor 107985 12/30/2015
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 09/25/2023
BOLAND, KEVIN PATRICK Supervising Prescribing Practitioner Osteopathic Physician 12732 02/08/2016
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 09/25/2023
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 09/25/2023
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 11/01/2023
BROWN, BRIAN L Supervising Prescribing Practitioner Osteopathic Physician 5248 02/08/2016
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 11/01/2023
CANO, ROBERT ANTHONY DO Supervising Prescribing Practitioner Osteopathic Physician 7269 02/08/2016
CARABALLO, DAMIAN EDUARDO IV Supervising Prescribing Practitioner Medical Doctor 106340 02/08/2016
CARDONA, LINA M Supervising Prescribing Practitioner Medical Doctor 156483 10/15/2023
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 09/25/2023
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/15/2023
CONLEY, AMY RUBEN Supervising Prescribing Practitioner Medical Doctor 79991 02/08/2016
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 09/15/2023
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 09/15/2023
DE LUCA, LAURIE JEAN Supervising Prescribing Practitioner Medical Doctor 94019 12/30/2015
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 03/18/2016
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 09/15/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
DIXON, MARK DALE MD Supervising Prescribing Practitioner Medical Doctor 63074 02/08/2016
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 11/28/2022
DRAVIAM, SAMEER P Supervising Prescribing Practitioner Medical Doctor 116541 02/08/2016
DUBEY, JESSE VINCENT Supervising Prescribing Practitioner Osteopathic Physician 13099 08/05/2016
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 02/08/2016
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 02/08/2016
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 11/07/2016
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 11/07/2016
GRANT-LEVY, TATIA R DO Supervising Prescribing Practitioner Osteopathic Physician 7331 02/08/2016
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 11/01/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HASKINS, KERRY HUGH MD Supervising Prescribing Practitioner Medical Doctor 49468 02/08/2016
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HAUGHEY, JOHN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 126548 11/07/2016
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 08/05/2016
KELLOCK, HEIDI-MARIE ALEXANDRA M D Supervising Prescribing Practitioner Medical Doctor 114140 02/08/2016
KIRTZ, JEREMY FECHTER Supervising Prescribing Practitioner Medical Doctor 108993 02/08/2016
KUMAR, SIDHARTH KAUSHIK Supervising Prescribing Practitioner Medical Doctor 122215 02/08/2016
LANCASTER, CHRISTINE BARONE Supervising Prescribing Practitioner Medical Doctor 95506 12/30/2015
LAND, LARRY LEE Supervising Prescribing Practitioner Medical Doctor 108914 02/08/2016
LEE, EUGENE C Supervising Prescribing Practitioner Medical Doctor 115521 02/08/2016
LIN, BRYAN PO-JUI Supervising Prescribing Practitioner Osteopathic Physician 11565 11/07/2016
LONGLEY, MICHAEL BRUCE Supervising Prescribing Practitioner Medical Doctor 94125 02/08/2016
LUCAS, JOANNE BRYAN Supervising Prescribing Practitioner Medical Doctor 97884 02/08/2016
LUDWIG, RICHARD EUGENE Supervising Prescribing Practitioner Physician Assistant 9102456 11/01/2023
MATHUR, MONAL PATEL Supervising Prescribing Practitioner Medical Doctor 101062 02/08/2016
MATHUR, RAJNEESH Supervising Prescribing Practitioner Osteopathic Physician 10264 02/08/2016
MERRITT, RAYMOND LEE Supervising Prescribing Practitioner Osteopathic Physician 11538 02/08/2016
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 12/01/2023
O'MALLEY, RACHEL ELIZABETH Supervising Prescribing Practitioner Medical Doctor 112862 02/08/2016
OSBORNE, AARON RYAN Supervising Prescribing Practitioner Medical Doctor 108215 03/18/2016
PARKS, THOMAS EDWARD Supervising Prescribing Practitioner Physician Assistant 9105210 11/01/2023
PATEL, TEJAS Supervising Prescribing Practitioner Osteopathic Physician 13790 08/05/2016
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/23/2022
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 03/18/2016
PIERRO, ANTHONY PETER Supervising Prescribing Practitioner Osteopathic Physician 12031 02/08/2016
PRATOR, PAUL CARL M D Supervising Prescribing Practitioner Medical Doctor 92865 02/08/2016
ROCKLER, KENDALL MICHELLE Supervising Prescribing Practitioner Medical Doctor 114880 12/01/2023
ROSENBERG, NOAH MUNN Supervising Prescribing Practitioner Medical Doctor 161606 10/05/2023
SANTAYANA, RICARDO JR Supervising Prescribing Practitioner Medical Doctor 119115 02/08/2016
SCHWARTZ, MATTHEW ABRAM Supervising Prescribing Practitioner Medical Doctor 135491 01/10/2023
SCOTT, DAVID Supervising Prescribing Practitioner Medical Doctor 143679 01/10/2023
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 02/01/2023
SHAH, MANASI SAMIR Supervising Prescribing Practitioner Medical Doctor 127451 08/05/2016
SHAH, SHIRALI Supervising Prescribing Practitioner Medical Doctor 134469 01/10/2023
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 02/08/2016
SNEAD, THOMAS LEE II Supervising Prescribing Practitioner Medical Doctor 116520 01/10/2023
STAFF, KRISTINE E Supervising Prescribing Practitioner Medical Doctor 117924 01/10/2023
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 11/01/2022
TEPPER, EVAN BRETT MD Supervising Prescribing Practitioner Medical Doctor 60190 12/30/2015
THOMAS, SHERWIN ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 149747 01/01/2023
TICKETT, SHELLEY SMITH Supervising Prescribing Practitioner Medical Doctor 90313 12/30/2015
TIMMEL, MARK Supervising Prescribing Practitioner Medical Doctor 151869 01/01/2023
TIRHEIMER, WENZEL III Supervising Prescribing Practitioner Medical Doctor 83294 02/08/2016
UMANSKY, AARON JOSEPH Supervising Prescribing Practitioner Medical Doctor 151420 01/10/2023
VIBHAKAR, ARJUN Supervising Prescribing Practitioner Medical Doctor 128122 08/05/2016
VOEGTLI, KRYSTYNA RENEE Supervising Prescribing Practitioner Medical Doctor 114913 02/08/2016
WHITE, JEREMY V Supervising Prescribing Practitioner Osteopathic Physician 11399 02/08/2016
YOHANNES-PETERS, FITSUM Supervising Prescribing Practitioner Medical Doctor 92187 12/30/2015
YONTECK, FREDERICK TODD Supervising Prescribing Practitioner Medical Doctor 87287 02/08/2016
ZAHARIS, CONSTANTINE ZACHARY MD Supervising Prescribing Practitioner Medical Doctor 112437 02/08/2016
ZAHN, ELISE JOY Supervising Prescribing Practitioner Osteopathic Physician 7897 02/08/2016

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Name Relationship Profession License Effective Date
MONROE, BRADLEY SEAN Prescribing Physician Assistant Physician Assistant 9115248 12/1/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.