License Verification

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NAM DINH

License Number: ME131672

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME131672
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
03/16/2017
Address of Record
5979 VINELAND RD
Ste 101
ORLANDO, FL 32819
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
5555 E SR 44 Unit 2
WILDWOOD, FL 34785
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BLYTHE, JEAN FAIRCHILD Prescribing Physician Assistant Physician Assistant 9106844 2/13/2020
CALAMARO, KELSEY Prescribing Physician Assistant Physician Assistant 9116876 3/6/2023
CANALIZO, JOHN BUCKLEY Subordinate Medical Doctor 67318 9/1/2020
ROGAN, AMANDA LEE Prescribing Physician Assistant Physician Assistant 9108155 2/13/2020

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

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 12/23/2024



* 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.