License Verification

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MARK ALEXANDER DAICOFF

License Number: PA9112118

Data As Of 11/23/2024

Profession
Physician Assistant
License
PA9112118
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/03/2019
Address of Record
701 6th St S
SAINT PETERSBURG, FL 33701
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
BOLHOFNER, BRETT ROBINSON Supervising Prescribing Practitioner Medical Doctor 38574 08/09/2019
CANIZARES, GEORGE HUBERT Supervising Prescribing Practitioner Medical Doctor 82101 08/09/2019
DAVIS, CLINTON BERTRAND II Supervising Prescribing Practitioner Medical Doctor 53370 08/09/2019
DZIADOSZ, DANIEL RICHARD Supervising Prescribing Practitioner Medical Doctor 103748 08/09/2019
HIRSHORN, KURT CLIFFORD MD Supervising Prescribing Practitioner Medical Doctor 109053 08/09/2019
LOWRY, WILLIAM EDWARD Supervising Prescribing Practitioner Medical Doctor 61590 08/09/2019
NGUYEN, DZI-VIET PHUOC Supervising Prescribing Practitioner Osteopathic Physician 12020 08/09/2019
PAGANO, PAUL JOSEPH Supervising Prescribing Practitioner Medical Doctor 116721 08/09/2019
RODRIGUEZ, JORGE ANTONIO JR Supervising Prescribing Practitioner Medical Doctor 64476 07/16/2019
SMITH, MICHAEL JUDSON Supervising Prescribing Practitioner Medical Doctor 33957 08/09/2019
SMITH, PATRICK JUDSON Supervising Prescribing Practitioner Medical Doctor 138617 08/09/2019
SWICK, MATTHEW JAY Supervising Prescribing Practitioner Medical Doctor 102271 07/16/2019

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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 11/23/2024



* 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.