License Verification

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MARCUS BRUNO

License Number: PA9110320

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9110320
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/10/2017
Address of Record
1324 Lakeland Hills Blvd
32983 Drake Estates Way
LAKELAND, FL 33805
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
6901 Simmons Loop St Joseph Hospital South
RIVERVIEW, FL 33578
Address
3001 West Dr. MLK Jr. Blvd St Joseph Hospital Tampa 32983 Drake Estates Way
TAMPA, FL 33607
Address
4211 Van Dyke Road St Joseph Hospital North 32983 Drake Estates Way
LUTZ, FL 33558
Address
1 Tampa General Hospital
TAMPA, FL 33606
Name Relationship Profession License Effective Date
ABRAHAMSEN, NADIA Supervising Prescribing Practitioner Medical Doctor 108847 02/20/2018
AKKASHIAN, MICHAEL BERNARD Supervising Prescribing Practitioner Medical Doctor 113464 10/04/2017
ALFONSO, ADALBERTO JR Supervising Prescribing Practitioner Medical Doctor 122516 10/04/2017
AMATEA, JOHN M Supervising Prescribing Practitioner Medical Doctor 111903 10/04/2017
ANCHETA, JOEY SALDANA MD Supervising Prescribing Practitioner Medical Doctor 72598 10/04/2017
ANDERSON, JONATHAN OSBORNE Supervising Prescribing Practitioner Medical Doctor 111888 10/04/2017
AREGOOD, JENNIFER JOY Supervising Prescribing Practitioner Medical Doctor 116318 10/04/2017
ARREDONDO, COREY CUMBIE Supervising Prescribing Practitioner Medical Doctor 85016 10/04/2017
BEACH, KEVIN RICHARD Supervising Prescribing Practitioner Medical Doctor 107000 10/04/2017
BHISITKUL, DONNA MARIE Supervising Prescribing Practitioner Medical Doctor 70258 10/04/2017
BLIND, FRED JOSEPH Supervising Prescribing Practitioner Medical Doctor 99282 10/04/2017
BRAR, SARDUL SINGH MD Supervising Prescribing Practitioner Medical Doctor 48371 10/04/2017
BROWN, RICHARD Supervising Prescribing Practitioner Medical Doctor 132286 10/04/2017
BUTZ, ABRAHAM F Supervising Prescribing Practitioner Medical Doctor 102668 10/04/2017
CARMAN, MATTHEW WILLIAM Supervising Prescribing Practitioner Medical Doctor 99548 10/04/2017
CAUSEY, ALAN LANE Supervising Prescribing Practitioner Medical Doctor 70284 10/04/2017
CHUNG, CHARLES R Supervising Prescribing Practitioner Medical Doctor 99441 10/04/2017
COKER, PHILLIP RYAN Supervising Prescribing Practitioner Medical Doctor 122260 10/04/2017
CRANK, RICHARD LEE JR Supervising Prescribing Practitioner Osteopathic Physician 10553 11/15/2017
DE LOS SANTOS, JESSE Supervising Prescribing Practitioner Medical Doctor 112913 10/04/2017
ESCOWITZ, HAL ETHAN Supervising Prescribing Practitioner Medical Doctor 81690 10/04/2017
FAWSETT, CHARLES ROBINSON II Supervising Prescribing Practitioner Medical Doctor 112904 10/04/2017
FISHER, ROSE MARIE Supervising Prescribing Practitioner Osteopathic Physician 6698 10/04/2017
GUGGINO, STEVEN ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 83061 10/04/2017
HABER, TODD SETH Supervising Prescribing Practitioner Medical Doctor 57935 10/04/2017
HANEY, MARISA LIANA Supervising Prescribing Practitioner Medical Doctor 106073 10/04/2017
HEAD, BRIAN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 122748 10/04/2017
KARP, JULIANA Supervising Prescribing Practitioner Medical Doctor 64823 10/04/2017
LASSETER, MEGAN LEIGH MD Supervising Prescribing Practitioner Medical Doctor 109910 10/04/2017
LINDENBLAD, ERIC HAMILTON Supervising Prescribing Practitioner Medical Doctor 43429 10/04/2017
MARICHAL, JOSE L MD Supervising Prescribing Practitioner Medical Doctor 21830 10/04/2017
MCFARLAND, MICHAEL SCOTT Supervising Prescribing Practitioner Medical Doctor 99023 10/04/2017
MCGLINN, SEAN PATRICK D O Supervising Prescribing Practitioner Osteopathic Physician 9846 10/04/2017
MCKEE, KRISTIN CORY Supervising Prescribing Practitioner Osteopathic Physician 12083 10/04/2017
MELTON, JAMES DAVID III Supervising Prescribing Practitioner Medical Doctor 52100 10/04/2017
MEMON, SUMERA HAROON Supervising Prescribing Practitioner Osteopathic Physician 11668 07/23/2018
MISDARY, JOHN SARATIAL MD Supervising Prescribing Practitioner Medical Doctor 111957 03/28/2018
OLDANO, KAREN THOMAS Supervising Prescribing Practitioner Osteopathic Physician 6570 10/04/2017
OLSON, CHRISTOPHER EARL Supervising Prescribing Practitioner Medical Doctor 91253 10/04/2017
REDDEN, DANYELLE ANN Supervising Prescribing Practitioner Medical Doctor 110215 10/04/2017
REEBER, CLIFF BENJAMIN Supervising Prescribing Practitioner Medical Doctor 73869 10/04/2017
REGAN, TIMOTHY JOHN Supervising Prescribing Practitioner Medical Doctor 94162 10/04/2017
RHODES, DAVID JOSEPH Supervising Prescribing Practitioner Medical Doctor 106826 10/04/2017
RODGERS, CHRISTOPHER NEILTON MD Supervising Prescribing Practitioner Medical Doctor 99231 10/04/2017
RODRIGUEZ, VASHUN APONTE Supervising Prescribing Practitioner Medical Doctor 104068 10/04/2017
ROLA, ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 8833 10/04/2017
SALAZAR, MANUEL MAURICIO Supervising Prescribing Practitioner Medical Doctor 36859 10/04/2017
SANTIAGO, RAFAEL Supervising Prescribing Practitioner Medical Doctor 90335 10/04/2017
SCHILLINGER, MATTHEW Supervising Prescribing Practitioner Osteopathic Physician 9191 10/04/2017
SMITH, DAVID JAMES Supervising Prescribing Practitioner Osteopathic Physician 9167 10/04/2017
SOBOWALE, OLUMIDE OLUFUNMI Supervising Prescribing Practitioner Medical Doctor 63869 11/15/2017
TICKETT, SHELLEY SMITH Supervising Prescribing Practitioner Medical Doctor 90313 02/20/2018
VISRAM, FARID NIZARALI Supervising Prescribing Practitioner Medical Doctor 95308 10/04/2017
VU, CHRISTOPHER HUY Supervising Prescribing Practitioner Medical Doctor 109654 10/04/2017
VYTYKAC, ADAM Supervising Prescribing Practitioner Medical Doctor 115497 07/23/2018
WAN, ERIC KUO HSUAN Supervising Prescribing Practitioner Medical Doctor 92490 10/04/2017
WEBSTER, MAUREEN MICHELLE Supervising Prescribing Practitioner Medical Doctor 76488 10/04/2017
WEEKS, SCOTT ROBERT Supervising Prescribing Practitioner Osteopathic Physician 8388 10/04/2017
WEIN, DAVID ABRAHAM Supervising Prescribing Practitioner Medical Doctor 99292 10/11/2021
YICK, ANDREW VAN Supervising Prescribing Practitioner Medical Doctor 109669 10/04/2017
ZAHN, ELISE JOY Supervising Prescribing Practitioner Osteopathic Physician 7897 10/04/2017

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/22/2024



* 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.


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