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License Number: OS13923

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS13923
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
04/14/2016
Address of Record
700 W Oak Street
KISSIMMEE, FL 34741
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
ALEMAN-BRIZUELA, VLADANA Supervising Prescribing Practitioner Medical Doctor 128937 10/25/2023

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Name Relationship Profession License Effective Date
ALI, MOHAMED SYAD Prescribing Physician Assistant Physician Assistant 9104732 5/12/2022
BASTIN, JOHN PATRICK PA-C Prescribing Physician Assistant Physician Assistant 9110037 3/8/2022
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 8/10/2022
BURNS, AMANDA MICHELLE Prescribing Physician Assistant Physician Assistant 9116653 10/27/2022
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 3/17/2022
DJOUINI, MERIEM Prescribing Physician Assistant Physician Assistant 9116041 7/1/2024
GLARDON, CHRISTIAN GEORGES Prescribing Physician Assistant Physician Assistant 9105689 3/30/2022
HANDT, TYLER JASON Prescribing Physician Assistant Physician Assistant 9116177 7/13/2022
JOHNSON, MICHAEL Prescribing Physician Assistant Physician Assistant 9111371 3/1/2022
KHAWAJA, NAWAL Prescribing Physician Assistant Physician Assistant 9116180 7/22/2022
LANGDON, PHILLIP NEIL Prescribing Physician Assistant Physician Assistant 9109345 10/5/2022
LEONIDES, ROCIO Prescribing Physician Assistant Physician Assistant 9111441 3/1/2023
MORRIS, SCOTT KIMBERLY Prescribing Physician Assistant Physician Assistant 2885 4/27/2022
NAYEEM, NAZMUL HASAN Prescribing Physician Assistant Physician Assistant 9117106 2/16/2023
OHLRICH, GREGORY EDWARD Prescribing Physician Assistant Physician Assistant 2883 4/18/2022
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 4/1/2022
PITTMAN, CARLOS TERRELL Prescribing Physician Assistant Physician Assistant 9107816 2/22/2023
SALAS, JENNIFER LYNNE Prescribing Physician Assistant Physician Assistant 9104807 1/30/2023
SAUER, HENRY EDWARD Prescribing Physician Assistant Physician Assistant 9105455 4/12/2022
SIDUN, NICHOLAS Prescribing Physician Assistant Physician Assistant 9116132 7/7/2022
SMIT, MARIA VALENTI Prescribing Physician Assistant Physician Assistant 9105510 3/28/2022
SMITHBACK, PAIGE CLAIRE Prescribing Physician Assistant Physician Assistant 9117557 8/1/2023
STODARD, CHRISTOPHER MICHAEL Prescribing Physician Assistant Medical Doctor 119239 3/1/2022
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 3/31/2022
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 3/7/2023
WILSON, SHERENE NASHARA Prescribing Physician Assistant Physician Assistant 9106036 3/1/2023

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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.


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.