License Verification

Printer Friendly Version

JIM ORITSETIMEYIN OMATSEYE JR

License Number: ME109386

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME109386
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
03/23/2011
Address of Record
9722 W SAMPLE RD
CORAL SPRINGS, FL 33065
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
HANNA, TEDDY JOSEPH Prescribing Physician Assistant Physician Assistant 9100964 10/21/2020
PETRUK, DIANA MICHELLE Prescribing Physician Assistant Physician Assistant 9108430 12/22/2020
POLERA, CATHERINE BEATRICE Prescribing Physician Assistant Osteopathic Physician 11336 12/19/2020
POLERA, CATHERINE BEATRICE Subordinate Osteopathic Physician 11336 4/1/2021
SMITH, EDWARD SIDNEY Subordinate Medical Doctor 118968 5/19/2017

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* 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.