License Verification

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SIDHARTH PANCHAMIA MD

License Number: ME106682

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME106682
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
03/23/2010
Address of Record
3140 S Falkenburg Rd
Ste 205
RIVERVIEW, FL 33578-2594
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
GOMEZ, KRISTINE NICOLE Prescribing Physician Assistant Physician Assistant 9107236 4/17/2018
GRIBBIN, THERESA ROSANNA Prescribing Physician Assistant Physician Assistant 9102943 1/24/2020
GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, L Pain Management Clinic Pain Management Clinic 1442 4/16/2012
NEAL, CHRISTOPHER GOFF Prescribing Physician Assistant Physician Assistant 9104543 4/19/2018
NG, CINDY Y Prescribing Physician Assistant Physician Assistant 9108731 4/19/2018

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 12/23/2024



* 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.


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