License Verification

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PARICHART CANDY KOONKITTI

License Number: ME125284

Data As Of 5/19/2024

Profession
Medical Doctor
License
ME125284
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/12/2015
Address of Record
13000 Bruce B Downs
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
CHAN, ADDISON CHI-KIT Supervisor Osteopathic Physician 16884 06/03/2021
GARCIA LA TORRE, EDWIN JOSE Supervisor Medical Doctor 114639 10/04/2016
GEORGE, STEPHEN NEIL SUPER-DO Osteopathic Physician 11057 10/04/2016
GRABBE, KELLY JANETTE SUPER-DO Osteopathic Physician 12064 10/04/2016
HILL, JAMES OTIS II SUPER-DO Osteopathic Physician 8885 10/04/2016
HOLT, TIMOTHY MARK Supervisor Osteopathic Physician 7964 05/14/2021
IRIZARRY-CRUZ, YASSIR GAMALIER Supervisor Medical Doctor 111068 10/04/2016
LIN, EDWARD C SUPER-DO Osteopathic Physician 11547 10/04/2016
NASR, RAMY MOHAMED ZAKI MD Supervisor Medical Doctor 117829 10/04/2016
PALANI, VENUGOPAL Supervisor Medical Doctor 49834 10/04/2016
PERRY, PAMELA MARIA MD Supervisor Medical Doctor 108679 10/04/2016
VIDAL, OCTAVIO JAVIER Supervisor Medical Doctor 114923 10/04/2016
VYTYKAC, ADAM Supervisor Medical Doctor 115497 10/04/2016

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

Name Relationship Profession License Effective Date
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/1/2017
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 6/28/2017
BAILEY, MELISSA CASILLAS Prescribing Physician Assistant Physician Assistant 9107076 3/17/2016
CALLAWAY, KATIE LENORE Prescribing Physician Assistant Physician Assistant 9105550 3/17/2016
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/21/2016
HODES, JAMIE LEE Prescribing Physician Assistant Physician Assistant 9109515 11/16/2016
HOLLIS, GREG DWIGHT Prescribing Physician Assistant Physician Assistant 9106026 3/17/2016
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 3/17/2016
KIMMERLING, ADAM TYLER Prescribing Physician Assistant Physician Assistant 9108682 3/17/2016
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
LANCASTER, CHRISTOPHER ALEXANDER Prescribing Physician Assistant Physician Assistant 9104840 3/16/2016
LARIMORE, TRAVIS LEE Prescribing Physician Assistant Physician Assistant 9106146 3/16/2016
LAVINA, JAY PATRICK Prescribing Physician Assistant Physician Assistant 9102410 3/16/2016
LONGLEY, MICHAEL BRUCE Prescribing Physician Assistant Medical Doctor 94125 3/4/2016
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/18/2017
MCCREIGHT, TRISHA RAE PA-C Prescribing Physician Assistant Physician Assistant 9102440 3/4/2016
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
MONROE, KIMBERLY DAWN Prescribing Physician Assistant Physician Assistant 9107201 3/16/2016
OLSON, CHRISTOPHER EARL Subordinate Medical Doctor 91253 6/10/2021
O'SHELL, COLLEEN MARIE Prescribing Physician Assistant Physician Assistant 9109521 8/5/2016
SCOTT, MATTHEW ALEXANDER Prescribing Physician Assistant Physician Assistant 9106407 3/16/2016
TINGLER, TARA LYNN Prescribing Physician Assistant Physician Assistant 9102755 3/16/2016
WIDNER, LAUREN BROOKE Prescribing Physician Assistant Physician Assistant 9105907 3/16/2016
XAVIER, JONATHAN DAVID Prescribing Physician Assistant Physician Assistant 9107872 3/16/2016

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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 5/19/2024



* 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.