License Verification
MADELINE BACH
License Number: PA9109682
Data As Of 11/21/2024
- Address
- 12190 Seminole Blvd Suite A
- LARGO, FL 33778
- Address
- 13531 State Rd. 54
- ODESSA, FL 33556
- Address
- 16521 US HWY 301 S Fast Track Urgent Care
- SUN CITY CENTER, FL 33573
- Address
- 799 W Lumsden Rd Fast Track Urgent Care
- BRANDON, FL 33511
- Address
- 564 Channelside Drive Fast Track Urgent Care
- TAMPA, FL 33602
- Address
- 5464 Lithia Pinecrest Drive Fast Track Urgent Care
- LITHIA, FL 33547
- Address
- 40545 US Hwy 19N Unit A Fast Track Urgent Care
- TARPON SPRINGS, FL 34689
- Address
- 6182 N US Highway 41 Fast Track Urgent Care
- APOLLO BEACH, FL 33572
- Address
- 11969 Sheldon Road Fast Track Urgent Care
- WESTCHASE, FL 33626
- Address
- 4505 Gunn Highway Fast Track Urgent Care
- TAMPA, FL 33624
- Address
- 5504 Gateway Blvd Fast Track Urgent Care
- WESLEY CHAPEL, FL 33544
- Address
- 303 W Palm Avenue Fast Track Urgent Care
- TAMPA, FL 33602
- Address
- 7601 Seminole Blvd Fast Track Urgent Care
- SEMINOLE, FL 33772
- Address
- 3251 66th St North Fast Track Urgent Care
- SAINT PETERSBURG, FL 33710
- Address
- 11406 US Highway 301 S Fast Track Urgent Care
- RIVERVIEW, FL 33578
- Address
- 3301 W Gandy Blvd Fast Track Urgent Care
- TAMPA, FL 33611
- Address
- 2401 4th St N
- SAINT PETERSBURG, FL 33704
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| ABRAHAMS, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 137738 | 10/01/2023 |
| AGDAMAG, PATRICK LEE | Supervising Prescribing Practitioner | Medical Doctor | 104157 | 06/28/2017 |
| AGUAYO, ELLIOTT JAMES | Supervising Prescribing Practitioner | Medical Doctor | 118692 | 06/28/2017 |
| BARNES, RICHARD R JR | Supervising Prescribing Practitioner | Medical Doctor | 69285 | 11/01/2023 |
| BARRON, SCOTT ALAN | Supervising Prescribing Practitioner | Medical Doctor | 107217 | 06/28/2017 |
| BERGMAN, JEFFERY JOSEPH | Supervising Prescribing Practitioner | Osteopathic Physician | 11615 | 09/01/2023 |
| BHATT, SUMEET RAJ MD | Supervising Prescribing Practitioner | Medical Doctor | 107985 | 06/28/2017 |
| BISHOP, TRACY MARIE | Supervising Prescribing Practitioner | Osteopathic Physician | 16617 | 10/15/2023 |
| BORUCKI, SIMON | Supervising Prescribing Practitioner | Medical Doctor | 104560 | 06/28/2017 |
| BROOKS, JOEL DEVOLENTINE | Supervising Prescribing Practitioner | Medical Doctor | 34887 | 11/01/2023 |
| BULLOCK, CORINNE MARY | Supervising Prescribing Practitioner | Medical Doctor | 161025 | 11/01/2023 |
| CANO, ROBERT ANTHONY DO | Supervising Prescribing Practitioner | Osteopathic Physician | 7269 | 06/28/2017 |
| CARABALLO, DAMIAN EDUARDO IV | Supervising Prescribing Practitioner | Medical Doctor | 106340 | 06/28/2017 |
| CASTANO, FRANCIS FAN M D | Supervising Prescribing Practitioner | Medical Doctor | 64422 | 06/28/2017 |
| CHEN, XANDUS | Supervising Prescribing Practitioner | Osteopathic Physician | 13064 | 06/28/2017 |
| CHRISTIANO, DANIELLE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 98327 | 06/28/2017 |
| CISSE, NATA | Supervising Prescribing Practitioner | Medical Doctor | 162132 | 11/15/2023 |
| DE LUCA, LAURIE JEAN | Supervising Prescribing Practitioner | Medical Doctor | 94019 | 06/28/2017 |
| DESAI, AJAY | Supervising Prescribing Practitioner | Osteopathic Physician | 12568 | 06/28/2017 |
| DRAVIAM, SAMEER P | Supervising Prescribing Practitioner | Medical Doctor | 116541 | 06/28/2017 |
| DUBEY, JESSE VINCENT | Supervising Prescribing Practitioner | Osteopathic Physician | 13099 | 06/28/2017 |
| EVERS, NATALIE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 89128 | 06/28/2017 |
| FROMMANN, NICOLE | Supervising Dispensing Practitioner | Medical Doctor | 81429 | 03/04/2019 |
| FROMMANN, NICOLE | Supervising Prescribing Practitioner | Medical Doctor | 81429 | 03/04/2019 |
| GASCA, ANDREW WILLIAM WINFIELD | Supervising Prescribing Practitioner | Osteopathic Physician | 14573 | 06/28/2017 |
| GELDART, DONALD BLAIR | Supervising Prescribing Practitioner | Medical Doctor | 27412 | 06/28/2017 |
| GOEHLERT, UWE GUSTAV | Supervising Prescribing Practitioner | Medical Doctor | 86308 | 06/28/2017 |
| GRAY, ADAM CLARKE | Supervising Prescribing Practitioner | Medical Doctor | 140862 | 11/01/2023 |
| KALDAS, MAGDY AYAD | Supervising Prescribing Practitioner | Medical Doctor | 71928 | 06/28/2017 |
| KEILMAN, CLINTON GABRIEL | Supervising Prescribing Practitioner | Medical Doctor | 128366 | 06/28/2017 |
| KELLOCK, HEIDI-MARIE ALEXANDRA M D | Supervising Prescribing Practitioner | Medical Doctor | 114140 | 06/28/2017 |
| KHAN, WAJAHAT ULLAH | Supervising Prescribing Practitioner | Medical Doctor | 81138 | 06/28/2017 |
| KINSEY, RICHARD RAYMOND JR | Supervising Prescribing Practitioner | Physician Assistant | 9101145 | 11/01/2022 |
| KLEINMAN, DANA | Supervising Prescribing Practitioner | Osteopathic Physician | 11037 | 06/28/2017 |
| KOONKITTI, PARICHART CANDY | Supervising Prescribing Practitioner | Medical Doctor | 125284 | 06/28/2017 |
| LAY, STEVEN F M D | Supervising Prescribing Practitioner | Medical Doctor | 51047 | 06/28/2017 |
| LIVOTI, REINALDO | Supervising Prescribing Practitioner | Physician Assistant | 9118153 | 11/01/2023 |
| LONGLEY, MICHAEL BRUCE | Supervising Prescribing Practitioner | Medical Doctor | 94125 | 06/28/2017 |
| LUCAS, JOANNE BRYAN | Supervising Prescribing Practitioner | Medical Doctor | 97884 | 06/28/2017 |
| LUDWIG, RICHARD EUGENE | Supervising Prescribing Practitioner | Physician Assistant | 9102456 | 11/01/2023 |
| MERRITT, RAYMOND LEE | Supervising Prescribing Practitioner | Osteopathic Physician | 11538 | 06/28/2017 |
| MILEY, KASIA | Supervising Prescribing Practitioner | Medical Doctor | 152375 | 12/01/2023 |
| NANDA, PAUL KALRA | Supervising Dispensing Practitioner | Medical Doctor | 117861 | 03/04/2019 |
| NANDA, PAUL KALRA | Supervising Prescribing Practitioner | Medical Doctor | 117861 | 03/04/2019 |
| NASR, RAMY MOHAMED ZAKI MD | Supervising Prescribing Practitioner | Medical Doctor | 117829 | 06/28/2017 |
| NAZARY, NEK NAZAR | Supervising Prescribing Practitioner | Medical Doctor | 117096 | 06/28/2017 |
| NESSELROADE, RYAN DAVID | Supervising Prescribing Practitioner | Medical Doctor | 106189 | 06/28/2017 |
| O'MALLEY, RACHEL ELIZABETH | Supervising Prescribing Practitioner | Medical Doctor | 112862 | 06/28/2017 |
| OSBORNE, AARON RYAN | Supervising Prescribing Practitioner | Medical Doctor | 108215 | 06/28/2017 |
| PATEL, TEJAS | Supervising Prescribing Practitioner | Osteopathic Physician | 13790 | 06/28/2017 |
| PAYOR, AUSTIN DANIEL | Supervising Prescribing Practitioner | Osteopathic Physician | 10925 | 06/28/2017 |
| PIERRO, ANTHONY PETER | Supervising Prescribing Practitioner | Osteopathic Physician | 12031 | 06/28/2017 |
| PIGMAN, EDWIN CARY MD | Supervising Prescribing Practitioner | Medical Doctor | 66985 | 06/28/2017 |
| ROCKLER, KENDALL MICHELLE | Supervising Prescribing Practitioner | Medical Doctor | 114880 | 12/01/2023 |
| SAMUEL, PETER AIAD | Supervising Prescribing Practitioner | Medical Doctor | 132116 | 06/28/2017 |
| SANTAYANA, RICARDO JR | Supervising Prescribing Practitioner | Medical Doctor | 119115 | 06/28/2017 |
| SCHWARTZ, MATTHEW ABRAM | Supervising Prescribing Practitioner | Medical Doctor | 135491 | 01/05/2023 |
| SCOTT, DAVID | Supervising Prescribing Practitioner | Medical Doctor | 143679 | 01/10/2023 |
| SECREST, JULIE K | Supervising Prescribing Practitioner | Medical Doctor | 110718 | 06/28/2017 |
| SELLEY, JEREMY KENT | Supervising Prescribing Practitioner | Osteopathic Physician | 13512 | 01/10/2023 |
| SHAH, MANASI SAMIR | Supervising Prescribing Practitioner | Medical Doctor | 127451 | 06/28/2017 |
| SIMPKINS, JANELL LYNN | Supervising Prescribing Practitioner | Medical Doctor | 120613 | 06/28/2017 |
| SIMPSON, ALISON L | Supervising Prescribing Practitioner | Medical Doctor | 74810 | 06/28/2017 |
| SMITH, MATTHEW WAYNE | Supervising Prescribing Practitioner | Osteopathic Physician | 16446 | 01/19/2023 |
| SOBKY, CHRISTIAN NADER | Supervising Prescribing Practitioner | Medical Doctor | 132030 | 06/28/2017 |
| SPENCER, ANDREW JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 122767 | 06/28/2017 |
| STAFF, KRISTINE E | Supervising Prescribing Practitioner | Medical Doctor | 117924 | 06/28/2017 |
| STULTZ, MEGAN | Supervising Prescribing Practitioner | Medical Doctor | 130382 | 06/28/2017 |
| TAHER, RAMEZ | Supervising Prescribing Practitioner | Medical Doctor | 101043 | 06/28/2017 |
| TAVERAS, ANABELLE NATALIA | Supervising Prescribing Practitioner | Medical Doctor | 148550 | 11/01/2022 |
| TEPPER, EVAN BRETT MD | Supervising Prescribing Practitioner | Medical Doctor | 60190 | 06/28/2017 |
| THOMAS, SHERWIN ZACHARIAH | Supervising Prescribing Practitioner | Medical Doctor | 149747 | 01/20/2022 |
| THUROW, CHANTELLE LANEE | Supervising Prescribing Practitioner | Osteopathic Physician | 11505 | 06/28/2017 |
| TICKETT, SHELLEY SMITH | Supervising Prescribing Practitioner | Medical Doctor | 90313 | 06/28/2017 |
| TIMMEL, MARK | Supervising Prescribing Practitioner | Medical Doctor | 151869 | 01/01/2023 |
| TIRHEIMER, WENZEL III | Supervising Prescribing Practitioner | Medical Doctor | 83294 | 06/28/2017 |
| UMANSKY, AARON JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 151420 | 01/10/2023 |
| VELASCO, WILLIAM J | Supervising Prescribing Practitioner | Medical Doctor | 121914 | 06/28/2017 |
| VIBHAKAR, ARJUN | Supervising Prescribing Practitioner | Medical Doctor | 128122 | 06/28/2017 |
| VOEGTLI, KRYSTYNA RENEE | Supervising Prescribing Practitioner | Medical Doctor | 114913 | 06/28/2017 |
| WHITE, GREGORY RICHARD MR | Supervising Prescribing Practitioner | Medical Doctor | 39946 | 06/28/2017 |
| WHITE, JEREMY V | Supervising Prescribing Practitioner | Osteopathic Physician | 11399 | 06/28/2017 |
| YOHANNES-PETERS, FITSUM | Supervising Prescribing Practitioner | Medical Doctor | 92187 | 06/28/2017 |
| YONTECK, FREDERICK TODD | Supervising Prescribing Practitioner | Medical Doctor | 87287 | 06/28/2017 |
| ZAHARIS, CONSTANTINE ZACHARY MD | Supervising Prescribing Practitioner | Medical Doctor | 112437 | 06/28/2017 |
| ZAHN, ELISE JOY | Supervising Prescribing Practitioner | Osteopathic Physician | 7897 | 06/28/2017 |
Click on the License Number to view License Details for that Practitioner
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| SORDAN, MICHAEL ROLF | Prescribing Physician Assistant | Physician Assistant | 9115648 | 2/1/2022 |
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 11/21/2024
* 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.
