License Verification

Printer Friendly Version

NICHOLAS SIDUN

License Number: PA9116132

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9116132
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/01/2022
Address of Record
2626 Capital Medical Blvd
TALLAHASSEE, FL 32308
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
ACOSTA, DAYANIS M Supervising Prescribing Practitioner Osteopathic Physician 15879 07/07/2022
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 07/26/2024
AJIT, MALVINDER SINGH Supervising Prescribing Practitioner Medical Doctor 76922 08/10/2023
ALEMAN-BRIZUELA, VLADANA Supervising Prescribing Practitioner Medical Doctor 128937 10/25/2023
ALI, MOHAMED SYAD Supervising Prescribing Practitioner Physician Assistant 9104732 10/01/2023
ARBUCKLE, SEAN SR Supervising Prescribing Practitioner Osteopathic Physician 11132 07/07/2022
ARNOLD, CASEY Supervising Prescribing Practitioner Medical Doctor 135552 07/07/2022
BERMAN, BRIAN L Supervising Prescribing Practitioner Medical Doctor 110013 07/07/2022
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 08/12/2022
BISHAWI, MARAM MOUSA Supervising Prescribing Practitioner Osteopathic Physician 17004 07/07/2022
BOCCIO, RICHARD J Supervising Prescribing Practitioner Medical Doctor 148699 07/07/2022
CALABRO, JAMES A Supervising Prescribing Practitioner Medical Doctor 102305 07/07/2022
CHUMNEY, GARRETT HEATH Supervising Prescribing Practitioner Medical Doctor 104106 08/03/2024
CONKLIN JR, JOSEPH EARL Supervising Prescribing Practitioner Medical Doctor 163761 11/06/2023
CREMIN, STEPHEN MICHAEL Supervising Prescribing Practitioner Medical Doctor 82844 07/07/2022
DEFREITAS, CHRISTOPHER ALIX Supervising Prescribing Practitioner Medical Doctor 139679 07/07/2022
DEL ROSARIO, CAELYN MARI C Supervising Prescribing Practitioner Medical Doctor 148537 07/09/2022
DIAB, DIAB Supervising Prescribing Practitioner Medical Doctor 135904 10/02/2024
EISNOR, DEREK LEE Supervising Prescribing Practitioner Medical Doctor 74231 07/06/2023
GIASI, PAUL CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 115774 09/18/2023
GUILLORY, BLAKE II Supervising Prescribing Practitioner Osteopathic Physician 16396 11/28/2023
GUTIERREZ, RAYMOND ELIAS Supervising Prescribing Practitioner Medical Doctor 130720 09/01/2024
HAIMS, ZIV AHARON D O Supervising Prescribing Practitioner Osteopathic Physician 11086 09/13/2023
HAVYARIMANA, JUVENAL Supervising Prescribing Practitioner Medical Doctor 138597 07/07/2022
HOBLEY, KENLYN JEAN Supervising Prescribing Practitioner Medical Doctor 110123 07/07/2022
HUQ, ZAHIN MUSAWER Supervising Prescribing Practitioner Medical Doctor 155168 08/10/2023
JONES, JONATHAN E Supervising Prescribing Practitioner Medical Doctor 108942 02/12/2024
KEMERER, JOHN JOSEPH D O Supervising Prescribing Practitioner Osteopathic Physician 14998 08/10/2023
KINSEY, DANIELLE MARIA Supervising Prescribing Practitioner Physician Assistant 9103937 10/25/2023
LOOMIS, ANDREW TROY Supervising Prescribing Practitioner Medical Doctor 160133 08/31/2023
LUKACSA, THOMAS DAVID Supervising Prescribing Practitioner Physician Assistant 9104358 02/26/2024
MARIN, JOHNNATAN Supervising Prescribing Practitioner Medical Doctor 156427 07/27/2023
MARKEL, JORDAN BROOKS Supervising Prescribing Practitioner Medical Doctor 152577 11/01/2023
MARTIN, CHRISTOPHER THOMAS Supervising Prescribing Practitioner Medical Doctor 130500 07/07/2022
MILLER, ALAN S Supervising Prescribing Practitioner Medical Doctor 124517 07/07/2022
MILYAVSKY, DANIEL Supervising Prescribing Practitioner Medical Doctor 155177 08/15/2023
NGUYEN, MINH-THU THI Supervising Prescribing Practitioner Medical Doctor 128228 05/29/2024
PICKETT, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 124561 07/07/2022
PUCHI, LUIS ALBERTO Supervising Prescribing Practitioner Medical Doctor 152136 07/07/2022
RAVAL, HITESH Supervising Prescribing Practitioner Osteopathic Physician 13266 07/07/2022
REDFIELD, COLBY SCOTT Supervising Prescribing Practitioner Medical Doctor 126222 05/15/2023
ROZWADOWSKI, THOMAS JOSEPH MD Supervising Prescribing Practitioner Medical Doctor 100274 07/07/2022
SANTANA, JOSE ANTONIO Supervising Prescribing Practitioner Medical Doctor 95767 07/07/2022
SCHREIBER, MICHAEL L Supervising Prescribing Practitioner Osteopathic Physician 11106 01/31/2024
SHERIDAN, INDRANI ANASTASIA Supervising Prescribing Practitioner Medical Doctor 77738 10/11/2024
SKINNER, CHASTITY FOWLER Supervising Prescribing Practitioner Osteopathic Physician 13923 07/07/2022
SONNTAG, JOSEPH GERARD Supervising Prescribing Practitioner Osteopathic Physician 20350 01/24/2024
SPURLOCK, RICHARD GLENN Supervising Prescribing Practitioner Medical Doctor 154944 07/07/2022
STANTON, ZACHARY Supervising Prescribing Practitioner Osteopathic Physician 18142 07/14/2022
SUJAKUMAR, RAVISHANKER VILLAFLOR Supervising Prescribing Practitioner Osteopathic Physician 14228 07/25/2023
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 07/07/2022
TIDWELL, CHRISTOPHER WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16301 07/07/2022
TRZASKOMA, MEGAN Supervising Prescribing Practitioner Osteopathic Physician 16206 07/07/2022
VELASQUEZ, JOHN THOMAS Supervising Prescribing Practitioner Medical Doctor 127402 07/07/2022
WALKER, TIMOTHY WOODFIN Supervising Prescribing Practitioner Medical Doctor 51072 06/30/2022
WHITE, MOLLY ADDISON Supervising Prescribing Practitioner Medical Doctor 87911 08/10/2023
YASAVOLIAN, MATTHEW Supervising Prescribing Practitioner Medical Doctor 137626 07/07/2022
ZARRAGA, JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 17937 07/07/2022
ZERVOS, AARON-NICKOLAOS Supervising Prescribing Practitioner Osteopathic Physician 18055 01/04/2024

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

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 11/21/2024



* 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.