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VITO A PETROZZINO

License Number: ME123472

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME123472
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
03/25/2015
Address of Record
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
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
LIVINGSTON, ROBERT TERENCE Supervisor Medical Doctor 83159 06/01/2021
MCNAMEE, JUSTIN JAMES Supervisor Osteopathic Physician 12888 06/01/2021
MOSES, DUSTY ALLEN DR Supervising Prescribing Practitioner Medical Doctor 115932 06/06/2021
MOSES, DUSTY ALLEN DR Supervisor Medical Doctor 115932 06/06/2021
MUCCIOLO, PAUL MD Supervising Prescribing Practitioner Medical Doctor 69281 06/04/2021
MUCCIOLO, PAUL MD Supervisor Medical Doctor 69281 06/04/2021
SISKO, MATTHEW DAVID Supervising Prescribing Practitioner Medical Doctor 111919 06/02/2021
SISKO, MATTHEW DAVID Supervisor Medical Doctor 111919 06/02/2021
WEINER, TRACY I DO Supervising Prescribing Practitioner Osteopathic Physician 7471 06/02/2021
WEINER, TRACY I DO Supervisor Osteopathic Physician 7471 06/02/2021

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Name Relationship Profession License Effective Date
ECKER, VICTORIA CAMILLE Prescribing Physician Assistant Physician Assistant 9112445 5/3/2022
MCCABE KLINE, KRISTIN BOND Subordinate Medical Doctor 98422 6/14/2021
PALACIOS, RAFAEL ARMANDO Prescribing Physician Assistant Physician Assistant 9103290 6/5/2015

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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.