License Verification

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DAVID WILLIAM BAMBERGER

License Number: PA2661

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA2661
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/20/1993
Address of Record
103 MEMORIAL MEDICAL PKY.
SUITE 200
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
ARAB, DINESH Supervising Prescribing Practitioner Medical Doctor 95354 04/21/2017
HENDERSON, DAVID ALAN Supervising Prescribing Practitioner Medical Doctor 38731 04/21/2017
SICKINGER, BARTON GLEN Supervising Prescribing Practitioner Osteopathic Physician 5006 04/21/2017
WALKER, JOHN L MD Supervising Prescribing Practitioner Medical Doctor 22583 04/21/2017

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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.