License Verification

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OMAR JOSE VAZQUEZ ALICEA

License Number: ACN1444

Data As Of 6/19/2025

Profession
Area of Critical Need Medical Doctor
License
ACN1444
License Status
Clear/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/21/2022
Address of Record
3014 53rd. Ave E.
Suite B
Primary Care of Venice
BRADENTON, FL 34203
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1225 W C 48
BUSHNELL, FL 33513
Address
10250 SE US Highway 441
BELLEVIEW, FL 34420
Address
13795 SW 36th Avenue, Suite 4
OCALA, FL 34473
Address
4901 E Silver Springs Blvd STE 703-704
OCALA, FL 34470
Name Relationship Profession License Effective Date
ISLAND DOCTORS Area of Critical Need Facility Medical Related Process Entity 09/06/2024
PREMIER MEDICAL ASSOCIATES Area of Critical Need Facility Medical Related Process Entity 10/23/2023
PREMIER MEDICAL ASSOCIATES Area of Critical Need Facility Medical Related Process Entity 09/26/2023
PRIMARY CARE OF VENICE LLC Area of Critical Need Facility Medical Related Process Entity 08/02/2024

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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 6/19/2025



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** 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.


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