License Verification

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LUCAS WAYNE MALIWACKI

License Number: PA9108377

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9108377
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
11/04/2014
Address of Record
2020 59th Street West
BRADENTON, FL 34209
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
5731 Bee Ridge Road Doctors Hospital
SARASOTA, FL 34233
Address
700 medical blvd
SARASOTA, FL 34233
Address
5731 BEE RIDGE RD DOCTORS HOSPTIAL OF SARASOTA
SARASOTA, FL 34233
Address
8330 Lakewood Ranch Blvd
LAKEWOOD RANCH, FL 34202
Name Relationship Profession License Effective Date
HIERHOLZER, DANNY MICHAEL DO Supervising Prescribing Practitioner Osteopathic Physician 11234 07/14/2022

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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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.


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.