License Verification

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SAMPATH KUMAR MANICKAM

License Number: ME133234

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME133234
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
07/07/2017
Address of Record
Millennium Physician Group
8383 South Tamiami Trail. Suite 115
SARASOTA, FL 34238
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

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Name Relationship Profession License Effective Date
KHAN, SANA Subordinate Medical Doctor 114228 9/11/2020
ROLA, ALEXANDER Subordinate Osteopathic Physician 8833 9/11/2020
ROSS, KENNETH BRIAN Subordinate Medical Doctor 110098 4/19/2021

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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.