License Verification

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MICHAEL JAMES CERANOWSKI

License Number: PA9104159

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9104159
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/16/2007
Address of Record
632 Hawksbill Island Dr
SATELLITE BEACH, FL 32937
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
COOK, DARREN LEE Supervising Prescribing Practitioner Osteopathic Physician 5856 09/19/2017
LATHAM, JOSHUA LUKE DO Supervising Prescribing Practitioner Osteopathic Physician 10027 03/08/2018
PATEL, JAIMIN BALWANT M D Supervising Prescribing Practitioner Medical Doctor 104797 06/29/2017
PHELPS, ANID ORBEZO Supervising Prescribing Practitioner Medical Doctor 94653 09/13/2017
SCOTT, JACK DOUGLAS MD Supervising Prescribing Practitioner Medical Doctor 69637 06/28/2017

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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 5/19/2024



* 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.