License Verification

Printer Friendly Version

KEVIN JOSEPH VACCARELLO

License Number: PA9111495

Data As Of 10/27/2026

Profession
Physician Assistant
License
PA9111495
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
08/31/2018
Address of Record
10251 W Commercial Blvd
SUNRISE, FL 33351
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
ABO, BENJAMIN N Supervising Prescribing Practitioner Osteopathic Physician 13845 10/21/2026
AL-MULHEM, KHALED MUHAMMED Supervising Prescribing Practitioner Medical Doctor 128798 10/21/2026
BEATTIE, LARS KRISTIAN Supervising Prescribing Practitioner Medical Doctor 105475 10/21/2026
BECKER, TORBEN K Supervising Prescribing Practitioner Medical Doctor 128684 10/21/2026
BRASETH, NOEL ROBERT Supervising Prescribing Practitioner Medical Doctor 78343 10/21/2026
CRABB, DAVID Supervising Prescribing Practitioner Medical Doctor 135212 10/21/2026
DE PORTU, GIULIANO Supervising Prescribing Practitioner Medical Doctor 113391 10/21/2026
DICKINSON, DANIEL STOUGHTON IV Supervising Prescribing Practitioner Medical Doctor 116080 10/21/2026
ESQUIBEL, RAMONA DEE Supervising Prescribing Practitioner Medical Doctor 74343 10/21/2026
FERNANDEZ, MELINDA WILLIAMS Supervising Prescribing Practitioner Medical Doctor 115750 10/21/2026
FITZPATRICK, DESMOND EMMETT M D Supervising Prescribing Practitioner Medical Doctor 120756 10/21/2026
GORDON, JOSHUA DAVID Supervising Prescribing Practitioner Medical Doctor 135205 10/21/2026
HOLTZMAN, LIAM CHARLES D O Supervising Prescribing Practitioner Osteopathic Physician 9524 10/21/2026
HWANG, CHARLES WILLIAM JR Supervising Prescribing Practitioner Medical Doctor 126436 10/21/2026
JACKSON, MARK MAURICE Supervising Prescribing Practitioner Osteopathic Physician 10806 10/21/2026
JACKSON, SAUNDRA ALICIA Supervising Prescribing Practitioner Medical Doctor 110207 10/21/2026
JONES, JASON MAURY Supervising Prescribing Practitioner Medical Doctor 115097 10/21/2026
KAPLAN, JOSHUA BENJAMIN Supervising Prescribing Practitioner Osteopathic Physician 10939 10/21/2026
KONOPACK, SITHA Supervising Prescribing Practitioner Medical Doctor 118690 10/21/2026
KRABACHER, KENNETH DANIEL MD Supervising Prescribing Practitioner Medical Doctor 129897 10/21/2026
KRICK, MICHAEL LAWRENCE Supervising Prescribing Practitioner Osteopathic Physician 11364 10/21/2026
LAAUWE, KAREN LYNNE Supervising Prescribing Practitioner Medical Doctor 86303 10/21/2026
LUCAS, JUDITH KASSNER MD Supervising Prescribing Practitioner Medical Doctor 75032 10/21/2026
MALDONADO, NICHOLAS GEORGE Supervising Prescribing Practitioner Medical Doctor 120564 10/21/2026
MARCHICK, MICHAEL ROBERT Supervising Prescribing Practitioner Medical Doctor 106213 10/21/2026
MCKREITH, TRACEY ALICIA Supervising Dispensing Practitioner Medical Doctor 116119 06/05/2025
MEURER, DAVID ANDREW MD Supervising Prescribing Practitioner Medical Doctor 61347 10/21/2026
MOORE, KENDALL DEE Supervising Prescribing Practitioner Medical Doctor 132778 10/21/2026
MORA MONTERO, DIANA CAMILA Supervising Prescribing Practitioner Medical Doctor 127479 10/21/2026
MYERS, KENNETH JEFFREY Supervising Prescribing Practitioner Medical Doctor 49922 10/21/2026
NICKELS, LESLIE CONNOR Supervising Prescribing Practitioner Medical Doctor 92428 10/21/2026
OBERTI, WAYNE WALTER MD Supervising Prescribing Practitioner Medical Doctor 37145 10/21/2026
PATEL, PRATIK SHASHIKANT Supervising Prescribing Practitioner Medical Doctor 126466 10/21/2026
PATEL, ROHITKUMAR PRAVINCHANDRA Supervising Prescribing Practitioner Medical Doctor 106538 10/21/2026
PAYTON, THOMAS FRANK Supervising Prescribing Practitioner Medical Doctor 113915 10/21/2026
PLAZA-VERDUIN, MARITZA ANNETTE Supervising Prescribing Practitioner Medical Doctor 113294 10/21/2026
RASHEED, HASAN Supervising Prescribing Practitioner Medical Doctor 131986 10/21/2026
ROBERTS, DAVID L Supervising Prescribing Practitioner Medical Doctor 39881 10/21/2026
RYAN, MATTHEW FRANCIS Supervising Prescribing Practitioner Medical Doctor 101654 10/21/2026
SAMCAM, IVAN ALFONSO Supervising Prescribing Practitioner Medical Doctor 131378 10/21/2026
SHANNON, MATTHEW B DR Supervising Prescribing Practitioner Medical Doctor 73606 10/21/2026
SRIHARI, CAROLINE CORBYONS Supervising Prescribing Practitioner Medical Doctor 124373 10/21/2026
SWAN, TRICIA BRENEE Supervising Prescribing Practitioner Medical Doctor 107005 10/21/2026
THOMPSON, MEREDITH CHAMPION Supervising Prescribing Practitioner Medical Doctor 136797 10/21/2026
WALKER, JOSHUA ADAM Supervising Prescribing Practitioner Medical Doctor 119145 10/21/2026
ZERETZKE, CRISTINA M MD Supervising Prescribing Practitioner Medical Doctor 100671 10/21/2026

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 10/28/2026



* 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.