License Verification

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ETHAN DUANE ZIMMERMAN

License Number: OS17256

Data As Of 7/7/2024

Profession
Osteopathic Physician
License
OS17256
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
10/19/2020
Address of Record
21644 State Rd. 7
BOCA RATON, FL 33428
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

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Name Relationship Profession License Effective Date
ABRAHAM, VARKEY Prescribing Physician Assistant Physician Assistant 3670 6/27/2023
APPEL, RACHEL Prescribing Physician Assistant Physician Assistant 9102351 7/1/2023
BOBOTIS, KATHERINE A Prescribing Physician Assistant Physician Assistant 9102214 2/26/2024
CANO, DAILA ARIADDA Prescribing Physician Assistant Physician Assistant 9105905 6/27/2023
DENIZARD, REGINALD Prescribing Physician Assistant Physician Assistant 3579 6/27/2023
EDGE, WILLIAM KIRBY Prescribing Physician Assistant Physician Assistant 3029 6/27/2023
LEMAY, CHRISTOPHER RYAN Prescribing Physician Assistant Osteopathic Physician 10888 7/1/2023
LENTZ, JUSTIN Prescribing Physician Assistant Physician Assistant 9117333 10/18/2023
LUGO, ROBERTO A Prescribing Physician Assistant Physician Assistant 9101966 9/26/2023
PEREZ, DONNY Prescribing Physician Assistant Osteopathic Physician 9314 6/27/2023
POGGI, JOSHUA JOSEPH Prescribing Physician Assistant Physician Assistant 9109020 10/11/2023
RUOCCO, DEBRALEE ANNE Prescribing Physician Assistant Physician Assistant 9102726 6/27/2023
SHUYDA, OLGA Prescribing Physician Assistant Physician Assistant 9114796 6/22/2024
SPORN, MINDY Prescribing Physician Assistant Physician Assistant 9104258 7/1/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/7/2024



* 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.