License Verification

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ERICA LYNSEY LEPAK-LONG

License Number: PA9110115

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9110115
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/04/2017
Address of Record
6350 Central Ave
SAINT PETERSBURG, FL 33707
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10125 BIG BEND RD BAYCARE URGENT CARE, LLC
RIVERVIEW, FL 33578
Address
2442 Bloomingdale Ave
VALRICO, FL 33596
Address
2331 4TH ST N BAYCARE URGENT CARE, LLC
SAINT PETERSBURG, FL 33704
Address
900 Carillon Pkwy St 106
SAINT PETERSBURG, FL 33716
Address
1155 S DALE MABRY HWY ST 7 BAYCARE URGENT CARE, LLC
TAMPA, FL 33629
Address
2016 STATE RD. 60 EAST BAYCARE URGENT CARE, LLC
VALRICO, FL 33594
Address
6909 W. WALTERS AVENUE BAYCARE URGENT CARE, LLC
TAMPA, FL 33634
Address
1599 66TH ST NORTH BAYCARE URGENT CARE, LLC
SAINT PETERSBURG, FL 33710
Address
4821 US HWY 19, SUITE 5 BAYCARE URGENT CARE, LLC
NEW PORT RICHEY, FL 34652
Address
3351 N MCMULLEN BOOTH RD BAYCARE URGENT CARE, LLC
CLEARWATER, FL 33761
Address
711 S. BELCHER ROAD BAYCARE URGENT CARE, LLC
CLEARWATER, FL 33764
Address
11921 N DALE MABRY HWY ST 7 BAYCARE URGENT CARE, LLC
TAMPA, FL 33618
Address
17512 DONA MICHELLE DR BAYCARE URGENT CARE, LLC
TAMPA, FL 33647
Address
36245 US HWY 27 BAYCARE URGENT CARE, LLC
HAINES CITY, FL 33844
Address
400 1ST STREET NORTH BAYCARE URGENT CARE, LLC
WINTER HAVEN, FL 33881
Address
6455 GULF BLVD. BAYCARE URGENT CARE, LLC
WINTER HAVEN, FL 33881
Address
3440 W DR MLK JR BLVD S 100 BAYCARE URGENT CARE, LLC
TAMPA, FL 33607
Address
13670 WALSINGHAM ROAD BAYCARE URGENT CARE, LLC
LARGO, FL 33774
Address
711 South Belcher Road
CLEARWATER, FL 33764
Name Relationship Profession License Effective Date
WALDREP, NATHAN KEITH Supervising Dispensing Practitioner Medical Doctor 58834 04/02/2018
WALDREP, NATHAN KEITH Supervising Prescribing Practitioner Medical Doctor 58834 04/02/2018

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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 11/21/2024



* 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.