License Verification

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VINCENT TRAVIS KLOMPS

License Number: PA9118027

Data As Of 4/25/2025

Profession
Physician Assistant
License
PA9118027
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/04/2023
Address of Record
646 Virginia St Ste 201
Academic Alliance in Dermatology
DUNEDIN, FL 34698
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3165 N McMullen Booth Rd Bldg B
CLEARWATER, FL 33761
Address
13910 Fivay Rd ste 5
HUDSON, FL 34667
Address
Academic Alliance in Dermatolo 5210 Webb Rd
TAMPA, FL 33615
Name Relationship Profession License Effective Date
BECKER, KENNETH ALAN Supervising Prescribing Practitioner Medical Doctor 164038 02/05/2024
BELONGIE, IRIANA PEREZ Supervising Prescribing Practitioner Medical Doctor 94154 07/29/2024

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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 4/25/2025



* 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.