License Verification

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HALEY BENDER

License Number: PS59619

Data As Of 6/29/2025

Profession
Pharmacist
License
PS59619
License Status
Clear/Active
Qualifications
Test and Treat Certification
Collaborative Practice Certification
Certified To Administer Immunizations
License Expiration Date
9/30/2025
License Original Issue Date
08/02/2019
Address of Record
601 S Harbour Island Blvd
Suite 200
TAMPA, FL 33602
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
DAVIS II, CEDRIC EMDEN TTC Supervising Physician Medical Doctor 108693 08/03/2022
ESPINOZA, ANTHONY URIBE CPC Supervising Physician Osteopathic Physician 15947 06/03/2025
GEFFEN, JOSEPH BURNSED CPC Supervising Physician Osteopathic Physician 14492 05/14/2025
GONZALEZ-MENDOZA, MARIEL CPC Supervising Physician Medical Doctor 90507 05/20/2025
GOSZKOWSKI, JAMES H CPC Supervising Physician Medical Doctor 125286 06/12/2025
LAZO, CICERON V CPC Supervising Physician Medical Doctor 46485 06/23/2025
LOPEZ, JERONIMO CPC Supervising Physician Medical Doctor 120658 06/17/2025
RAMSAY, LISA GAYE CPC Supervising Physician Osteopathic Physician 16468 06/26/2025
SEECHARAN, STEPHEN KIRK CPC Supervising Physician Medical Doctor 95770 06/11/2025
SHABLIN, BRIAN K CPC Supervising Physician Medical Doctor 161320 06/13/2025
TOMBARKIEWICZ, JOLANTA BARBARA CPC Supervising Physician Medical Doctor 75433 05/28/2025
WORSLEY, WENDY LEAVITT CPC Supervising Physician Medical Doctor 87860 05/29/2025
YEDWAB OLIVER, BETH DENA CPC Supervising Physician Medical Doctor 57492 05/20/2025

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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 6/29/2025



* 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.