License Verification

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DEREK ANTHONY ZEFO

License Number: PA9107959

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9107959
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/03/2014
Address of Record
25 West Crystal Lake St.
Ste. 200
ORLANDO, FL 32806
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1300 Oviedo Mall Blvd
OVIEDO, FL 32765
Name Relationship Profession License Effective Date
ILGENFRITZ, RYAN MATTHEW Supervising Prescribing Practitioner Medical Doctor 119700 07/13/2018
LOVEJOY, JOHN FLETCHER III Supervising Prescribing Practitioner Medical Doctor 119262 07/13/2018
MALONE, JASON BRADLEY Supervising Prescribing Practitioner Osteopathic Physician 14628 07/13/2018
ROBINSON, LAWRENCE GEORGE Supervising Prescribing Practitioner Medical Doctor 57471 07/13/2018
SCHWARTZBERG, RANDY STEVEN Supervising Dispensing Practitioner Medical Doctor 69175 07/12/2022
SCHWARTZBERG, RANDY STEVEN Supervising Prescribing Practitioner Medical Doctor 69175 08/10/2022
STANTON, ROBERT PAGE Supervising Prescribing Practitioner Medical Doctor 34503 07/13/2018
STINSON, ZACHARY SULLIVAN Supervising Prescribing Practitioner Medical Doctor 134381 07/13/2018

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Name Relationship Profession License Effective Date

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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.


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