License Verification

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JUSTIN NOEL DZIK

License Number: ME114893

Data As Of 10/5/2024

Profession
Medical Doctor
License
ME114893
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
01/08/2013
Address of Record
1400 S Dobson Rd
MESA, AZ 85202
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
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 06/17/2022

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Name Relationship Profession License Effective Date
ABRAHAM, VARKEY Prescribing Physician Assistant Physician Assistant 3670 10/14/2021
APPEL, RACHEL Prescribing Physician Assistant Physician Assistant 9102351 10/14/2021
CANO, DAILA ARIADDA Prescribing Physician Assistant Physician Assistant 9105905 4/8/2022
DENIZARD, REGINALD Prescribing Physician Assistant Physician Assistant 3579 10/14/2021
HATOUM, ZACHARIAH Prescribing Physician Assistant Medical Doctor 143175 3/17/2024
LUGO, ROBERTO A Prescribing Physician Assistant Physician Assistant 9101966 8/2/2023
POGGI, JOSHUA JOSEPH Prescribing Physician Assistant Physician Assistant 9109020 10/21/2023
RUOCCO, DEBRALEE ANNE Prescribing Physician Assistant Physician Assistant 9102726 10/14/2021
SHUYDA, OLGA Prescribing Physician Assistant Physician Assistant 9114796 6/22/2024
SPORN, MINDY Prescribing Physician Assistant Physician Assistant 9104258 1/31/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/5/2024



* 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.