License Verification

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DIAB DIAB

License Number: ME135904

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME135904
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/05/2018
Address of Record
Memorial Regional
3501 Johnson Street
HOLLYWOOD, FL 33021
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
WINOGRAD, JONATHAN ISAAC Supervising Prescribing Practitioner Osteopathic Physician 12008 10/12/2021

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Name Relationship Profession License Effective Date
ALI, MOHAMED SYAD Prescribing Physician Assistant Physician Assistant 9104732 10/2/2024
BASTIN, JOHN PATRICK PA-C Prescribing Physician Assistant Physician Assistant 9110037 10/2/2024
BURNS, AMANDA MICHELLE Prescribing Physician Assistant Physician Assistant 9116653 10/2/2024
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 10/2/2024
CONKLIN JR, JOSEPH EARL Prescribing Physician Assistant Medical Doctor 163761 10/2/2024
DJOUINI, MERIEM Prescribing Physician Assistant Physician Assistant 9116041 10/2/2024
LANGDON, PHILLIP NEIL Prescribing Physician Assistant Physician Assistant 9109345 10/2/2024
NAYEEM, NAZMUL HASAN Prescribing Physician Assistant Physician Assistant 9117106 10/2/2024
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 10/2/2024
PITTMAN, CARLOS TERRELL Prescribing Physician Assistant Physician Assistant 9107816 10/2/2024
PRUITT, CHASE THOMAS Prescribing Physician Assistant Physician Assistant 9116117 10/2/2024
ROZWADOWSKI, THOMAS JOSEPH MD Prescribing Physician Assistant Medical Doctor 100274 10/2/2024
SIDUN, NICHOLAS Prescribing Physician Assistant Physician Assistant 9116132 10/2/2024
SKYLAR, ROMAN E Subordinate Medical Doctor 85138 9/1/2020
SMIT, MARIA VALENTI Prescribing Physician Assistant Physician Assistant 9105510 10/2/2024
SMITHBACK, PAIGE CLAIRE Prescribing Physician Assistant Physician Assistant 9117557 10/2/2024
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 10/2/2024
WHITE, MOLLY ADDISON Prescribing Physician Assistant Medical Doctor 87911 10/2/2024
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 10/2/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* 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.