License Verification

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MICHAEL ANTHONY FALLUCCO

License Number: ME109463

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME109463
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
03/30/2011
Address of Record
14546 OLD ST. AUGUSTINE RD.
MOB #1 SUITE 407
JACKSONVILLE, FL 32258
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2 SHIRCLIFF WAY, SUITE 500
JACKSONVILLE, FL 32204
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
GAVLIK, MORGAN PAIGE Prescribing Physician Assistant Physician Assistant 9110306 1/25/2023
SMITH, ADDISON Prescribing Physician Assistant Physician Assistant 9115534 7/1/2023

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Name Relationship Profession License Effective Date

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



* 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.