License Verification

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MICHELLE DIANE NICELY

License Number: PA9100658

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9100658
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/14/1998
Address of Record
TGH Urgent Care
5464 Lithia Pinecrest Rd
LITHIA, FL 33547
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
TGH Urgent Care 3301 W. Gandy Blvd
TAMPA, FL 33611
Address
TGH URgent Care 5504 Gateway Blvd
WESLEY CHAPEL, FL 33544
Address
TGH URGENT CARE 11969 Sheldon Rd
TAMPA, FL 33626
Address
TGH URGENT CARE 4505 GUNN HWY
TAMPA, FL 33624
Address
TGH URGENT CARE 11406 US HWY 301 SOUTH
RIVERVIEW, FL 33578
Address
TGH URGENT CARE 303 W PALM AVE
TAMPA, FL 33602
Address
TGH URGENT CARE 7601 SEMINOLE BLVD
SEMINOLE, FL 33772
Address
TGH URGENT CARE 3251 66TH ST NORTH
SAINT PETERSBURG, FL 33710
Address
TGH URGENT CARE 799 W LUMSDEN RD
BRANDON, FL 33511
Address
TGH URGENT CARE 16521 US HWY 301 SOUTH
SUN CITY CENTER, FL 33573
Address
TGH URGENT CARE 564 CHANNELSIDE DR
TAMPA, FL 33602
Address
TGH URGENT CARE 40545 US HWY 19N UNIT A
TARPON SPRINGS, FL 34689
Address
TGH URGENT CARE 6182 N US HWY 41
APOLLO BEACH, FL 33572
Address
TGH URGENT CARE 4949 4TH ST NORTH
SAINT PETERSBURG, FL 33703
Address
TGH URGENT CARE 13531 STATE ROAD 54
ODESSA, FL 33556
Name Relationship Profession License Effective Date
DELIKAT, TERRENCE STANISLAUS Supervising Prescribing Practitioner Osteopathic Physician 8368 05/28/2019

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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 11/22/2024



* 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.


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