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ROBERTO RAFAEL BALDASSARRE

License Number: PA9111425

Data As Of 10/27/2026

Profession
Physician Assistant
License
PA9111425
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
07/26/2018
Address of Record
3293 Greenwald Way North
AdventHealth Centra Care - Hunters Creek
KISSIMMEE, FL 34741
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10740 Palm River Road Suite 200 Tampa TGH Brandon HelathPlex
TAMPA, FL 33619-4572
Address
1 Tampa Generla Circle Tampa General Hospital
TAMPA, FL 33606-3571
Address
3293 Greenwald Way North AdventHealth Centra Care - Hunters Creek
KISSIMMEE, FL 34741
Name Relationship Profession License Effective Date
ARNOLD, JUSTIN KEITH Supervising Prescribing Practitioner Osteopathic Physician 15886 10/20/2026
BEAU, JULLIAN STANLEY Supervising Prescribing Practitioner Medical Doctor 140858 10/19/2026
BEECUM, ALOK AROONKUMAR Supervising Prescribing Practitioner Medical Doctor 114942 10/19/2026
BENJAMIN, SUZANNE NANCY MD Supervising Prescribing Practitioner Medical Doctor 74150 10/20/2026
COVITZ, SHANNON MIXON Supervising Prescribing Practitioner Osteopathic Physician 11652 10/19/2026
DERESPINO, ALLISON CORINNE Supervising Prescribing Practitioner Medical Doctor 124208 10/20/2026
DERR, CHARLOTTE Supervising Prescribing Practitioner Medical Doctor 85340 10/20/2026
DIBARTOLOMEO, DOMENIC Supervising Prescribing Practitioner Medical Doctor 132423 10/20/2026
DRUKTEINIS, DAINIUS ALBERTAS Supervising Prescribing Practitioner Medical Doctor 109447 10/20/2026
EASTMAN, JACOB NESS MIZRAHI Supervising Prescribing Practitioner Medical Doctor 100729 10/20/2026
ESPETIA, OSCAR DAVID Supervising Prescribing Practitioner Medical Doctor 110364 10/19/2026
FALODUN, OLUWATOYIN E Supervising Prescribing Practitioner Medical Doctor 93204 10/20/2026
FOSTER, JAMES RALPH II Supervising Prescribing Practitioner Medical Doctor 116659 10/19/2026
FREEMAN, LINDSAY ANN Supervising Prescribing Practitioner Medical Doctor 115246 10/20/2026
GAAR, GREGORY GORDON MD Supervising Prescribing Practitioner Medical Doctor 48484 10/20/2026
GILLEN, JAMES P MD Supervising Prescribing Practitioner Medical Doctor 100819 10/20/2026
GLASER, CRAIG J Supervising Dispensing Practitioner Medical Doctor 98711 04/24/2020
GLASER, CRAIG J Supervising Prescribing Practitioner Medical Doctor 98711 10/19/2026
GOLDMAN, MICHEYLE L Supervising Prescribing Practitioner Osteopathic Physician 10421 10/20/2026
GREEN, DANIEL AARON Supervising Prescribing Practitioner Medical Doctor 83505 10/19/2026
HASANDZEKAJ, ARDIJAN Supervising Prescribing Practitioner Medical Doctor 124024 10/19/2026
HAUGHEY, JOHN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 126548 10/19/2026
HOIDA, JEFFREY SCOTT MD Supervising Prescribing Practitioner Medical Doctor 136257 10/19/2026
HOMAN, CLARK STEPHEN Supervising Prescribing Practitioner Medical Doctor 104968 10/20/2026
JAMESON, ANGUS MACINTOSH Supervising Prescribing Practitioner Medical Doctor 114475 10/19/2026
JARA, FERNANDO A Supervising Prescribing Practitioner Medical Doctor 83556 10/20/2026
KAUFMAN, NESREEN HANNA Supervising Prescribing Practitioner Medical Doctor 121116 10/19/2026
KEILMAN, CLINTON GABRIEL Supervising Prescribing Practitioner Medical Doctor 128366 10/19/2026
LAZCANO, ANTONIO MARIA Supervising Prescribing Practitioner Medical Doctor 108060 10/19/2026
LEE, ANN MARIE Supervising Prescribing Practitioner Medical Doctor 59411 10/19/2026
LEFEBRE, JULIANA DO Supervising Prescribing Practitioner Osteopathic Physician 13135 10/19/2026
LEMING, MELISSA KRISTAL Supervising Prescribing Practitioner Medical Doctor 116340 10/20/2026
LIN, BRYAN PO-JUI Supervising Prescribing Practitioner Osteopathic Physician 11565 10/19/2026
MAGUIRE, CHRISTOPHER MD Supervising Prescribing Practitioner Medical Doctor 104607 10/19/2026
MCGEACHY, JACK CHANDLER Supervising Prescribing Practitioner Medical Doctor 133076 10/19/2026
MCJENNETT, ROBERT VINCENT Supervising Prescribing Practitioner Osteopathic Physician 8604 10/19/2026
MCKENNA, RYAN TIMOTHY Supervising Prescribing Practitioner Osteopathic Physician 13229 10/19/2026
MELZER, DAVID R Supervising Prescribing Practitioner Osteopathic Physician 4774 10/20/2026
MENDEZ, LORRAINE MD Supervising Prescribing Practitioner Medical Doctor 120528 10/19/2026
MENDOZA, MICHELLE LYN Supervising Prescribing Practitioner Medical Doctor 136766 10/20/2026
MERRITT, RAYMOND LEE Supervising Prescribing Practitioner Osteopathic Physician 11538 10/19/2026
MOSELEY, MARK GLENN Supervising Prescribing Practitioner Medical Doctor 129483 10/19/2026
OKONKWO, ENOLA Supervising Prescribing Practitioner Medical Doctor 136421 10/20/2026
OKUDA, YASUHARU Supervising Prescribing Practitioner Medical Doctor 124418 10/19/2026
O'MALLEY, RACHEL ELIZABETH Supervising Prescribing Practitioner Medical Doctor 112862 10/19/2026
ORBAN, DAVID J MD Supervising Prescribing Practitioner Medical Doctor 41783 10/20/2026
PATTERSON, JASMINE LEE Supervising Prescribing Practitioner Medical Doctor 127896 10/20/2026
PEREDY, TAMAS ROBERT MD Supervising Prescribing Practitioner Medical Doctor 117220 10/19/2026
POFF, FRANKLIN ALBRIGHT III Supervising Prescribing Practitioner Osteopathic Physician 14830 10/20/2026
RAGUINDIN, LEAH Supervising Prescribing Practitioner Medical Doctor 138502 10/19/2026
RITCHEY, DARRELL CLAYTON JR Supervising Prescribing Practitioner Medical Doctor 136437 10/19/2026
RODRIGUEZ, VASHUN APONTE Supervising Prescribing Practitioner Medical Doctor 104068 10/19/2026
SAINT-HILAIRE, REGINALD Supervising Prescribing Practitioner Medical Doctor 123697 10/20/2026
SANTIAGO, RAFAEL Supervising Prescribing Practitioner Medical Doctor 90335 10/19/2026
SEMMONS, RACHEL ELIZABETH Supervising Prescribing Practitioner Medical Doctor 112294 10/19/2026
SHEPARD, BROOKE MOLYNEUX Supervising Prescribing Practitioner Medical Doctor 97665 10/19/2026
SMITH, ANDREW FRANKLIN Supervising Prescribing Practitioner Medical Doctor 139229 10/19/2026
SOBKY, CHRISTIAN NADER Supervising Prescribing Practitioner Medical Doctor 132030 10/19/2026
SUEN, ANDREA CATHERINE Supervising Prescribing Practitioner Medical Doctor 116964 10/19/2026
TARIQ, ZAIN Supervising Prescribing Practitioner Medical Doctor 133236 10/19/2026
TERSHAKOVEC, STEPHANIE MICHELE Supervising Prescribing Practitioner Osteopathic Physician 15248 10/19/2026
THOMAS, ANDREW EDWARD Supervising Prescribing Practitioner Medical Doctor 123710 10/19/2026
VASEY, MATTHEW BARDINI Supervising Prescribing Practitioner Medical Doctor 114456 10/19/2026
WEIN, DAVID ABRAHAM Supervising Prescribing Practitioner Medical Doctor 99292 10/20/2026
WILSON, JASON WAYNE Supervising Prescribing Practitioner Medical Doctor 105890 10/19/2026
ZACHARIAH, ANISH BABU M D Supervising Prescribing Practitioner Medical Doctor 101413 10/19/2026
ZAHARIS, CONSTANTINE ZACHARY MD Supervising Prescribing Practitioner Medical Doctor 112437 10/20/2026

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/27/2026



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