License Verification

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REGINALD DENIZARD

License Number: PA3579

Data As Of 9/28/2024

Profession
Physician Assistant
License
PA3579
License Status
DELINQUENT/
Qualifications
Prescribing
License Expiration Date
1/31/2024
License Original Issue Date
03/27/1998
Address of Record
9655 W Boynton Beach Blvd
BOYNTON BEACH, FL 33472
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
ABRAHAM, VARKEY Supervising Prescribing Practitioner Physician Assistant 3670 10/14/2021
ANDERSON, APRIL LAUREN MD Supervising Prescribing Practitioner Medical Doctor 105130 10/14/2021
APPEL, RACHEL Supervising Prescribing Practitioner Physician Assistant 9102351 10/12/2021
BORMAN, LAURA Supervising Prescribing Practitioner Medical Doctor 136395 10/11/2021
BRYAN, GISELA RENATA RAPHAELLE Supervising Prescribing Practitioner Medical Doctor 144752 01/25/2024
CANNON, CHRISTINA MARIA Supervising Prescribing Practitioner Medical Doctor 132084 10/11/2021
DUNLAP, KRISTEN JEAN M D Supervising Prescribing Practitioner Medical Doctor 122435 10/14/2021
DVOR, NATHAN Supervising Prescribing Practitioner Medical Doctor 141456 10/11/2021
DZIK, JUSTIN NOEL Supervising Prescribing Practitioner Medical Doctor 114893 10/14/2021
ESTRINE, KAREN MICHELLE Supervising Prescribing Practitioner Osteopathic Physician 10867 10/11/2021
FLETCHER, STEFFEN HASBROUCK Supervising Prescribing Practitioner Medical Doctor 100208 10/21/2021
GONZALEZ, JOSE M MD Supervising Prescribing Practitioner Medical Doctor 70122 10/12/2021
JOHNSON, IAN JAMES Supervising Prescribing Practitioner Physician Assistant 9110730 10/11/2021
MCGARRY, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 145599 06/13/2022
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 10/12/2021
MESUK, JEFFREY L Supervising Prescribing Practitioner Medical Doctor 76098 10/11/2021
NEWSTEAD, SUZANNE ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 11216 10/11/2021
PILLITTERI, RIAN JOHN MD Supervising Prescribing Practitioner Medical Doctor 113299 10/11/2021
POPOVETSKY, GARY Supervising Prescribing Practitioner Osteopathic Physician 11198 10/11/2021
ROBINSON, CINDY LIZ Supervising Prescribing Practitioner Physician Assistant 9104267 10/14/2021
RODRIGUEZ, FRANCES Supervising Prescribing Practitioner Medical Doctor 63807 10/12/2021
RUOCCO, DEBRALEE ANNE Supervising Prescribing Practitioner Physician Assistant 9102726 10/14/2021
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 06/17/2022
TAYLOR, KEVIN LEE Supervising Prescribing Practitioner Medical Doctor 116337 10/12/2021
VARGAS, DAMARIS B Supervising Prescribing Practitioner Osteopathic Physician 10078 10/12/2021
WINOGRAD, JONATHAN ISAAC Supervising Prescribing Practitioner Osteopathic Physician 12008 10/12/2021
ZIMMERMAN, ETHAN DUANE Supervising Prescribing Practitioner Osteopathic Physician 17256 06/27/2023

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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 9/28/2024



* 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.