License Verification

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MONICA EDITH CANTU

License Number: ME122370

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME122370
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
12/09/2014
Address of Record
1890 LPGA BLVD., SUITE 130
PRIMECARE URGENT CARE CENTERS
PRIMECARE AT TWIN LAKES
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

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
CANALIZO, JOHN BUCKLEY Prescribing Physician Assistant Medical Doctor 67318 8/3/2020
FISHER, MICHAEL FRANCIS Dispensing Physician Assistant Physician Assistant 9112796 8/5/2020
FISHER, MICHAEL FRANCIS Prescribing Physician Assistant Physician Assistant 9112796 6/7/2020
JOHNSON, JAMIE JESSE Prescribing Physician Assistant Physician Assistant 9111384 9/21/2018
KHAN, SOHAIL AHMED Prescribing Physician Assistant Physician Assistant 9102828 10/7/2016
MECAJ, BESNIK Prescribing Physician Assistant Physician Assistant 9111490 5/6/2019
RICCI, ANGELA LYNN Prescribing Physician Assistant Physician Assistant 9105845 8/1/2016
TEMPEL, RICHARD ANDREW MD Dispensing Physician Assistant Medical Doctor 102329 8/3/2020
TRAN, BRIAN HOANG Prescribing Physician Assistant Osteopathic Physician 10404 8/3/2020
TRAN, BRIAN HOANG Subordinate Osteopathic Physician 10404 8/5/2020
VALENTE, VINCENT GERARD DO Subordinate Osteopathic Physician 10118 8/3/2020
WISSENBACH, CODY Prescribing Physician Assistant Physician Assistant 9114334 4/26/2022
WRIGHT, JEREMY MICHAEL Prescribing Physician Assistant Physician Assistant 9108266 9/27/2016

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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 12/22/2024



* 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.