License Verification

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KEVIN DONALD NOWICKI

License Number: ME62806

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME62806
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
08/13/1992
Address of Record
2020 OAKLEY SEAVER DRIVE
Suite 3
CLERMONT, FL 34711
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

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Name Relationship Profession License Effective Date
JONES, KATHY YOLANDE Subordinate Medical Doctor 78870 2/1/2018
PHYSICIAN BUSINESS ALLIANCE, PA HCCE Health Care Clinic Establishment Permit 914 1/5/2009
VAN DYKE, TRAVIS BOYD Subordinate Medical Doctor 92680 2/1/2018
WIESE, JON DICK MD Subordinate Medical Doctor 54060 2/1/2018

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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 11/22/2024



* 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.


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.