License Verification

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ROBERTO J DIAZ BALZAC

License Number: ME127423

Data As Of 10/27/2026

Profession
Medical Doctor
License
ME127423
License Status
Clear/Active
License Expiration Date
1/31/2028
License Original Issue Date
03/15/2016
Address of Record
MEDICAL PROVIDERS 500
WINDERLEY PLACE #115
MAITLAND, FL 32751
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
AUN, JESSICA FIDES Supervising Prescribing Practitioner Osteopathic Physician 13946 06/30/2025
NWIZU, MARCEL Supervising Prescribing Practitioner Osteopathic Physician 17671 08/18/2025
REDDY, MOVVA NAVIN Supervising Prescribing Practitioner Medical Doctor 93812 09/07/2023

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Name Relationship Profession License Effective Date
BENJAMIN, JONATHAN P Prescribing Physician Assistant Physician Assistant 9101827 10/26/2026
BURCHENSON, KRYSTA-GAYE LATOYA Prescribing Physician Assistant Physician Assistant 9108009 3/27/2018
CABEZUDO, JOSE R Prescribing Physician Assistant Physician Assistant 9102689 10/27/2026
CRUZ, CHRISTINE Prescribing Physician Assistant Physician Assistant 9107269 10/23/2026
CUBERO, ISMAEL CANDIDO Subordinate Medical Doctor 126889 10/1/2019
FERREIRA, JOHN FRANCIS Prescribing Physician Assistant Physician Assistant 9104195 10/20/2026
HABIB, LAILA NICOLE Prescribing Physician Assistant Physician Assistant 9111509 12/17/2018
JACKSON, DEREK C Prescribing Physician Assistant Physician Assistant 9101356 10/21/2026
LUKASIK, MICHELLE NICOLE Prescribing Physician Assistant Physician Assistant 9111603 12/19/2018
OLIVER, ALORA Prescribing Physician Assistant Physician Assistant 9109906 10/20/2026

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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 10/27/2026



* 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.