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MELISSA ANNE MALLORY

License Number: ME145143

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME145143
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/17/2020
Address of Record
10920 McKinley Dr
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
10901 McKinley Dr
TAMPA, FL 33612
Address
12902 USF Magnolia Drive Tampa
TAMPA, FL 33612
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BACON, KAELA Prescribing Physician Assistant Physician Assistant 9110761 1/1/2022
CRONIN, CHELSEA NICOLE Prescribing Physician Assistant Physician Assistant 9107454 11/1/2021
CUNNINGHAM, KATHLEEN PA-C Prescribing Physician Assistant Physician Assistant 9110378 11/1/2021
HENIKA, CAROLINE ELIZABETH Prescribing Physician Assistant Physician Assistant 9115713 12/21/2023
POWERS, WANDA FANICE Prescribing Physician Assistant Physician Assistant 9109368 11/1/2021
SWINDAL, KARIE WEISSMAN Prescribing Physician Assistant Physician Assistant 9108443 11/1/2021
TARHAN, OZLEM Prescribing Physician Assistant Physician Assistant 9111784 11/1/2021
TRIVEDI, RUTVI C Prescribing Physician Assistant Physician Assistant 9110395 11/1/2021

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 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.