License Verification

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JUDY BALLICH

License Number: PA9117060

Data As Of 4/22/2025

Profession
Physician Assistant
License
PA9117060
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/03/2023
Address of Record
12902 USF Magnolia Drive
TAMPA, FL 33612
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
ALSINA, MELISSA Supervising Prescribing Practitioner Medical Doctor 84554 02/17/2025
BAGLOO, MELISSA BAHAREH Supervising Prescribing Practitioner Medical Doctor 146371 03/26/2025
BEJANYAN, NELLI Supervising Prescribing Practitioner Medical Doctor 134687 02/17/2025
BELLO VINCENTELLI, GUSTAVO E Supervising Prescribing Practitioner Medical Doctor 149631 03/26/2025
CASTANEDA PUGLIANINI, OMAR ALEXIS Supervising Prescribing Practitioner Medical Doctor 132642 02/17/2025
DITTY, BENJAMIN JARED Supervising Prescribing Practitioner Medical Doctor 141157 03/20/2025
FARAMAND, RAWAN GHASSAN Supervising Prescribing Practitioner Medical Doctor 127723 02/17/2025
FEELY, EMILY DOLBARE Supervising Prescribing Practitioner Medical Doctor 125085 03/31/2025
FREEMAN, CIARA LOUISE Supervising Prescribing Practitioner Medical Doctor 151458 02/17/2025
HANSEN, DORIS Supervising Prescribing Practitioner Medical Doctor 142481 02/17/2025
KANE, AMANDA Supervising Prescribing Practitioner Medical Doctor 128523 11/14/2024
KHIMANI, FARHAD Supervising Prescribing Practitioner Medical Doctor 124476 02/17/2025
LAZARYAN, ALEKSANDR Supervising Prescribing Practitioner Medical Doctor 135262 02/17/2025
LICHT, JONATHAN DANIEL Supervising Prescribing Practitioner Medical Doctor 126669 12/13/2024
LIU, HIEN DUONG Supervising Prescribing Practitioner Medical Doctor 135283 02/17/2025
LOCKE, FREDERICK LUNDRY Supervising Prescribing Practitioner Medical Doctor 108049 02/17/2025
NAPPI, FLORENCE Supervising Prescribing Practitioner Medical Doctor 134948 03/31/2025
NISHIHORI, TAIGA Supervising Prescribing Practitioner Medical Doctor 106972 02/17/2025
OCHOA-BAYONA, JOSE LEONEL Supervising Prescribing Practitioner Medical Doctor 99608 02/17/2025
PATEL, RUSHANG Supervising Prescribing Practitioner Medical Doctor 120062 04/02/2025
PEREZ, LIA ELENA Supervising Prescribing Practitioner Medical Doctor 87267 02/17/2025
RAMLAL, RESHMA Supervising Prescribing Practitioner Medical Doctor 168182 02/17/2025
RIZK, RALPH Supervising Prescribing Practitioner Osteopathic Physician 14887 04/01/2025
TAYLOR, KEVIN LEE Supervising Prescribing Practitioner Medical Doctor 116337 03/15/2025
TORRES LUNA, NANCY EUNICE Supervising Prescribing Practitioner Medical Doctor 169793 02/17/2025

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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 4/22/2025



* 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.