License Verification

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NICOLE FROMMANN

License Number: ME81429

Data As Of 5/19/2024

Profession
Medical Doctor
License
ME81429
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
11/03/2000
Address of Record
3301 W. GANDY BLVD.
TAMPA, FL 33611
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
16521 US 301
WIMAUMA, FL 33598
Address
19027 Wingshooter Way
LUTZ, FL 33558
Address
22945 State Rd 54
LUTZ, FL 33549
Address
2810 W. MLK Jr. Blvd.
TAMPA, FL 33607
Address
13856 N. Dale Mabry Highway
TAMPA, FL 33618
Address
4949 4th St. North
SAINT PETERSBURG, FL 33703
Address
13531 State Rc. 54
ODESSA, FL 33556
Address
5464 Lithia Pinecrest Drive
LITHIA, FL 33547
Address
564 Channelside Dr
TAMPA, FL 33602
Address
6182 N USHighway 41
APOLLO BEACH, FL 33572
Address
40545 US Highway 19N Unit A
TARPON SPRINGS, FL 34689
Address
11969 SHELDON ROAD
TAMPA, FL 33626
Address
4505 GUNN HWY
TAMPA, FL 33624
Address
5504 GATEWAY BLVD.
WESLEY CHAPEL, FL 33544
Address
3251 66TH STREET NORTH
SAINT PETERSBURG, FL 33710
Address
11406 US HIGHWAY 301 S.
RIVERVIEW, FL 33578
Address
7601 SEMINOLE BLVD.
SEMINOLE, FL 33772
Address
799 West Lumsden
BRANDON, FL 33511
Address
303 W Palm Ave
TAMPA, FL 33602
Name Relationship Profession License Effective Date
COLLINS, KIMBERLY ANN Supervisor Medical Doctor 80883 06/15/2021
FROMMANN, NICOLE Supervisor Medical Doctor 81429 06/15/2021
GHAYAL, MEERA Supervisor Osteopathic Physician 15784 06/15/2021
HERMAN, ELIZABETH JOYCE Supervising Prescribing Practitioner Medical Doctor 131046 06/15/2021
HERMAN, ELIZABETH JOYCE Supervisor Medical Doctor 131046 06/15/2021
ROLON, ROBERTO LUIS Supervising Prescribing Practitioner Osteopathic Physician 13125 01/15/2021
ROLON, ROBERTO LUIS Supervisor Osteopathic Physician 13125 06/15/2021
STONEKING, CARRIE MAE D O Supervising Prescribing Practitioner Osteopathic Physician 12096 06/15/2021
STONEKING, CARRIE MAE D O Supervisor Osteopathic Physician 12096 06/15/2021
VARGAS MARTINEZ, DAVID JOSE Supervising Prescribing Practitioner Medical Doctor 135604 06/15/2021
VARGAS MARTINEZ, DAVID JOSE Supervisor Medical Doctor 135604 06/15/2021
VILLAR-DIAZ, MICHELLE Supervising Prescribing Practitioner Medical Doctor 118258 01/15/2021
VILLAR-DIAZ, MICHELLE Supervisor Medical Doctor 118258 01/01/2021
WILLIAMS, ERIC MICHAEL D O Supervising Prescribing Practitioner Osteopathic Physician 8231 06/15/2021
WILLIAMS, ERIC MICHAEL D O Supervisor Osteopathic Physician 8231 06/15/2021

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Name Relationship Profession License Effective Date
BACH, MADELINE Dispensing Physician Assistant Physician Assistant 9109682 3/4/2019
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 3/4/2019
DRISSEL, ELIZABETH A Dispensing Physician Assistant Physician Assistant 9105443 1/9/2020
DRISSEL, ELIZABETH A Prescribing Physician Assistant Physician Assistant 9105443 9/21/2018
FROMMANN, NICOLE Subordinate Medical Doctor 81429 6/15/2021
KARKEVANDIAN, EBRAHIM H Subordinate Osteopathic Physician 8706 10/1/2019
KEOUGH, KELLY ELIZABETH Dispensing Physician Assistant Physician Assistant 9109279 2/18/2019
KEOUGH, KELLY ELIZABETH Prescribing Physician Assistant Physician Assistant 9109279 9/17/2018
LASTRA, MICHELLE NICOLE Dispensing Physician Assistant Physician Assistant 9111768 2/15/2019
LASTRA, MICHELLE NICOLE Prescribing Physician Assistant Physician Assistant 9111768 1/25/2019
MOORE, JENNIFER LYNN Dispensing Physician Assistant Physician Assistant 9106682 3/4/2019
MOORE, JENNIFER LYNN Prescribing Physician Assistant Physician Assistant 9106682 3/1/2019
MURPHY WONG, VICTORIA Prescribing Physician Assistant Physician Assistant 9112055 5/21/2021
SIMPSON, SYDNEE ALYSSA Dispensing Physician Assistant Physician Assistant 9111595 2/15/2019
SIMPSON, SYDNEE ALYSSA Prescribing Physician Assistant Physician Assistant 9111595 1/24/2019
WADAS, MEGAN LYNN Dispensing Physician Assistant Physician Assistant 9104756 2/18/2019
WADAS, MEGAN LYNN Prescribing Physician Assistant Physician Assistant 9104756 9/18/2018
WILCOX, KAREN MARIE Dispensing Physician Assistant Physician Assistant 9103500 2/18/2019
WILCOX, KAREN MARIE Prescribing Physician Assistant Physician Assistant 9103500 10/1/2018

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



* 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.