License Verification

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TINA AGOSTINELLI

License Number: PA9112202

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9112202
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/17/2019
Address of Record
12500 N Dale Mabry Hwy
Ste E
TAMPA, FL 33618
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
FIGUEROA-NIEVES, TOMAS Supervising Prescribing Practitioner Medical Doctor 79040 02/20/2023
ODOM, MARTY WAYNE Supervising Prescribing Practitioner Medical Doctor 82596 08/16/2021
SHEILS, MARTHA ESPERANZA Supervising Prescribing Practitioner Osteopathic Physician 7519 06/16/2022

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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 11/22/2024



* 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.