License Verification

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VIJAY BHASKER REDDY THUMMA

License Number: ME135589

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME135589
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
03/12/2018
Address of Record
HCA Florida Lawnwood Hospital
1700 S 23rd St
FORT PIERCE, FL 34950
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

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Name Relationship Profession License Effective Date
CRUZ, YVETTE LYNN Prescribing Physician Assistant Physician Assistant 9104295 4/29/2019
GOZAR, JOHN ALVIN MD Prescribing Physician Assistant Medical Doctor 91258 4/29/2019
GOZAR, JOHN ALVIN MD Subordinate Medical Doctor 91258 3/16/2019
GRAVES, CLARENCE RICHARD III Prescribing Physician Assistant Physician Assistant 9106480 4/30/2019
PATEL, HETAL MIHIR Prescribing Physician Assistant Physician Assistant 9103240 3/16/2019

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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.