License Verification

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UTPAL SURESHKUMAR DESAI

License Number: ME82884

Data As Of 11/27/2024

Profession
Medical Doctor
License
ME82884
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
07/10/2001
Address of Record
305 MEMORIAL MEDICAL PARKWAY
SUITE 308
DAYTONA BEACH, FL 32117
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
DEMUYNCK, KELLY ELIZABETH Prescribing Physician Assistant Physician Assistant 9112731 11/16/2020
MCCONVILLE, TAMMY MORAN Prescribing Physician Assistant Physician Assistant 9114251 5/3/2021
SULLIVAN, ANN NICOLE Prescribing Physician Assistant Physician Assistant 9113026 3/2/2020
WAGNER, KRISTINE LEE Prescribing Physician Assistant Physician Assistant 9101686 3/20/2023

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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 11/27/2024



* 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.