License Verification

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TIMOTHY MARK HOLT

License Number: OS7964

Data As Of 5/19/2024

Profession
Osteopathic Physician
License
OS7964
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
09/23/1999
Address of Record
5208 Sligh Rd
LAKELAND, FL 33813
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
AKRI, ELIEZER Subordinate Osteopathic Physician 8887 5/14/2021
BROWN, RICHARD Subordinate Medical Doctor 132286 6/10/2021
CARABALLO, DAMIAN EDUARDO IV Subordinate Medical Doctor 106340 5/14/2021
GEORGE, STEPHEN NEIL Subordinate Osteopathic Physician 11057 5/14/2021
HILD, JOSEPH DANIEL Subordinate Medical Doctor 115272 5/14/2021
KOONKITTI, PARICHART CANDY Subordinate Medical Doctor 125284 5/14/2021
MENDOZA, CAROLINA Subordinate Medical Doctor 121357 5/14/2021
PAYOR, AUSTIN DANIEL Subordinate Osteopathic Physician 10925 5/14/2021
ZIKA, BLAKE A Subordinate Osteopathic Physician 9230 5/14/2021

Click on the License Number to view License Details for that Practitioner

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 5/19/2024



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** 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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