License Verification

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ISWANTO SUCANDY

License Number: ME129245

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME129245
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
07/22/2016
Address of Record
3000 Medical Park Dr
Suite 500
TAMPA, FL 33613
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
938 Oakfield Drive
BRANDON, FL 33511
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
NASR, RAMY MOHAMED ZAKI MD Prescribing Physician Assistant Medical Doctor 117829 6/7/2021
TAYLOR, CHRISTOPHER H Prescribing Physician Assistant Physician Assistant 9110290 7/21/2017

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* 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.