License Verification
NEIL EDWARD COLLOM
License Number: PA9111249
Data As Of 12/22/2024
- Address
- 3301 W Gandy Blvd
- TAMPA, FL 33611
- Address
- 5504 Gateway Blvd
- TAMPA, FL 33626
- Address
- 11969 Sheldon Road
- WESTCHASE, FL 33626
- Address
- 4505 Gunn Highway
- TAMPA, FL 33624
- Address
- 11406 US HWY 301 S
- RIVERVIEW, FL 33578
- Address
- 303 W Palm Ave
- TAMPA, FL 33602
- Address
- 7601 Seminole Blvd
- SEMINOLE, FL 33772
- Address
- 3251 66th st north
- SAINT PETERSBURG, FL 33710
- Address
- 799 W Lumsden Rd
- BRANDON, FL 33511
- Address
- 16521 US HWY 301 S
- RUSKIN, FL 33573
- Address
- 10740 Palm River Road TGH brandon Healthplex Suite 200
- TAMPA, FL 33619
- Address
- 6 Tampa General Circle Tampa TGH Infusion Center
- TAMPA, FL 33606
- Address
- 3001 WEST DR. MLK JR BLVD ST JOSEPH'S HOSPITAL
- TAMPA, FL 33607
- Address
- 4211 VANDYKE RD ST JOSEPH'S HOSPITAL NORTH
- LUTZ, FL 33558
- Address
- 6901 SIMMONS LOOP ST. JOSEPH'S HOSPITAL SOUTH
- RIVERVIEW, FL 33578
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| ABII-IKPESA, ULOMA NINO OLAMIPO | Supervising Prescribing Practitioner | Medical Doctor | 148823 | 11/05/2024 |
| ALDEEN, AMER Z | Supervising Prescribing Practitioner | Medical Doctor | 134734 | 11/15/2024 |
| ANDERSON, HAL | Supervising Prescribing Practitioner | Medical Doctor | 162015 | 11/15/2024 |
| ARENDS, DREW WILLIAM | Supervising Prescribing Practitioner | Osteopathic Physician | 16069 | 11/15/2024 |
| ASHER, CHARLES | Supervising Prescribing Practitioner | Medical Doctor | 127859 | 11/15/2024 |
| ATEZ, FRANCISCO JOSE | Supervising Prescribing Practitioner | Medical Doctor | 109582 | 11/15/2024 |
| ATLAS, YELENA | Supervising Prescribing Practitioner | Medical Doctor | 149603 | 11/15/2024 |
| BARNES, RICHARD R JR | Supervising Prescribing Practitioner | Medical Doctor | 69285 | 11/15/2024 |
| BASKOT, BILJANA | Supervising Prescribing Practitioner | Medical Doctor | 70813 | 11/15/2024 |
| BISTER, MARY KATHLEEN | Supervising Prescribing Practitioner | Medical Doctor | 156254 | 11/15/2024 |
| BOLAND, KEVIN PATRICK | Supervising Prescribing Practitioner | Osteopathic Physician | 12732 | 11/15/2024 |
| BOVELL, DON WALDO MD | Supervising Prescribing Practitioner | Medical Doctor | 81076 | 11/15/2024 |
| BROOKS, JOEL DEVOLENTINE | Supervising Prescribing Practitioner | Medical Doctor | 34887 | 11/15/2024 |
| BUCHANAN, CURTIS BLAKE | Supervising Prescribing Practitioner | Medical Doctor | 131632 | 11/15/2024 |
| BULLOCK, CORINNE MARY | Supervising Prescribing Practitioner | Medical Doctor | 161025 | 11/15/2024 |
| BULTRON-RODRIGUEZ, CRISTINA | Supervising Prescribing Practitioner | Medical Doctor | 98867 | 11/15/2024 |
| CASTELLANOS, JOSEPH HENRY | Supervising Prescribing Practitioner | Medical Doctor | 162638 | 11/15/2024 |
| CHERIAN, LESLIE | Supervising Prescribing Practitioner | Osteopathic Physician | 16969 | 11/15/2024 |
| CHRYSTAL, SEAN ALLAN | Supervising Prescribing Practitioner | Osteopathic Physician | 18317 | 11/15/2024 |
| CISSE, NATA | Supervising Prescribing Practitioner | Medical Doctor | 162132 | 11/15/2024 |
| CONLEY, AMY RUBEN | Supervising Prescribing Practitioner | Medical Doctor | 79991 | 11/15/2024 |
| CROFT, DEVIN | Supervising Prescribing Practitioner | Medical Doctor | 162073 | 11/15/2024 |
| CROWE, DONALD W | Supervising Prescribing Practitioner | Medical Doctor | 43726 | 11/15/2024 |
| CUEVAS, DANIEL LIM | Supervising Prescribing Practitioner | Medical Doctor | 129675 | 11/15/2024 |
| CUNNINGHAM, MICHAEL F | Supervising Prescribing Practitioner | Osteopathic Physician | 14869 | 11/15/2024 |
| D'AMBROSIO, ASHLEY JANE | Supervising Prescribing Practitioner | Medical Doctor | 150911 | 11/15/2024 |
| DAMIANO, THOMAS R | Supervising Prescribing Practitioner | Medical Doctor | 147160 | 11/15/2024 |
| DAWKINS, DONALD | Supervising Prescribing Practitioner | Osteopathic Physician | 10160 | 11/15/2024 |
| DEGROAT, JONATHAN THOMAS | Supervising Prescribing Practitioner | Medical Doctor | 114356 | 11/15/2024 |
| DESAI, HARSHEEL | Supervising Prescribing Practitioner | Medical Doctor | 149295 | 11/15/2024 |
| DEWAN, VAIL LEE MD | Supervising Prescribing Practitioner | Medical Doctor | 93083 | 11/15/2024 |
| DIGIOIA, KRISTIN TERESA | Supervising Prescribing Practitioner | Osteopathic Physician | 17594 | 11/15/2024 |
| DIXON, MARK DALE MD | Supervising Prescribing Practitioner | Medical Doctor | 63074 | 11/15/2024 |
| EDGINTON, SIMON ROY M D | Supervising Prescribing Practitioner | Medical Doctor | 74221 | 11/15/2024 |
| FASIUDDIN, NAJAM | Supervising Prescribing Practitioner | Osteopathic Physician | 15006 | 11/15/2024 |
| FIELDS, WILLIAM ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 122379 | 11/15/2024 |
| FORTSON, SEAN JAMISON | Supervising Prescribing Practitioner | Osteopathic Physician | 8702 | 11/15/2024 |
| FRANCIS, JEFFREY | Supervising Prescribing Practitioner | Medical Doctor | 155906 | 11/15/2024 |
| FUCARINO, MATTHEW DANIEL | Supervising Prescribing Practitioner | Medical Doctor | 110000 | 11/15/2024 |
| GARCIA-GONZALEZ, ALEXANDER | Supervising Prescribing Practitioner | Medical Doctor | 109637 | 11/15/2024 |
| GONZALEZ, JAVIER IGNACIO | Supervising Prescribing Practitioner | Medical Doctor | 107827 | 11/15/2024 |
| GRANT-LEVY, TATIA R DO | Supervising Prescribing Practitioner | Osteopathic Physician | 7331 | 11/15/2024 |
| GRAY, ADAM CLARKE | Supervising Prescribing Practitioner | Medical Doctor | 140862 | 11/15/2024 |
| HAMPTON, WESTON WAYNE | Supervising Prescribing Practitioner | Medical Doctor | 157622 | 11/15/2024 |
| HANNA, RAAFAT MICHEL | Supervising Prescribing Practitioner | Medical Doctor | 69412 | 11/15/2024 |
| HART, CALEN GENE | Supervising Prescribing Practitioner | Medical Doctor | 156116 | 11/15/2024 |
| HASKINS, KERRY HUGH MD | Supervising Prescribing Practitioner | Medical Doctor | 49468 | 11/15/2024 |
| HATHCOCK, AMBER MARIE | Supervising Prescribing Practitioner | Medical Doctor | 152148 | 11/15/2024 |
| HLAVATY, HALEY DANIELLE | Supervising Prescribing Practitioner | Osteopathic Physician | 16836 | 11/15/2024 |
| HUGHES, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 156138 | 11/15/2024 |
| HUME, ERIK TIMOTHY DO | Supervising Prescribing Practitioner | Osteopathic Physician | 17391 | 11/15/2024 |
| HUMMEL, LAURA | Supervising Prescribing Practitioner | Medical Doctor | 127881 | 11/15/2024 |
| HUND, JONATHAN | Supervising Prescribing Practitioner | Medical Doctor | 162983 | 11/15/2024 |
| IORIO, DOMINIC STEPHEN | Supervising Prescribing Practitioner | Medical Doctor | 155302 | 11/15/2024 |
| JEAN-FRANCOIS, JULIEN | Supervising Prescribing Practitioner | Medical Doctor | 145041 | 11/15/2024 |
| JUARBE, MARIFEL | Supervising Prescribing Practitioner | Medical Doctor | 96542 | 11/15/2024 |
| KARAGEORGIADIS, ALEXANDER STEVEN | Supervising Prescribing Practitioner | Medical Doctor | 136223 | 11/15/2024 |
| KENNEY, RYAN JOHN | Supervising Prescribing Practitioner | Medical Doctor | 135829 | 11/15/2024 |
| KHOUJAH, DANYA | Supervising Prescribing Practitioner | Medical Doctor | 156111 | 11/15/2024 |
| KING, ROBYN | Supervising Prescribing Practitioner | Osteopathic Physician | 15023 | 11/15/2024 |
| KIRBY, SARA E | Supervising Prescribing Practitioner | Medical Doctor | 113449 | 11/15/2024 |
| KIRTZ, JEREMY FECHTER | Supervising Prescribing Practitioner | Medical Doctor | 108993 | 11/15/2024 |
| KUMAR, DAVID RAJENDRA | Supervising Prescribing Practitioner | Medical Doctor | 159475 | 11/15/2024 |
| LACAYO BAEZ, MARCELO JOSE | Supervising Prescribing Practitioner | Medical Doctor | 140238 | 11/15/2024 |
| LAMEE, ALEXANDER | Supervising Prescribing Practitioner | Osteopathic Physician | 17580 | 11/15/2024 |
| LANCASTER, CHRISTINE BARONE | Supervising Prescribing Practitioner | Medical Doctor | 95506 | 11/15/2024 |
| LAND, LARRY LEE | Supervising Prescribing Practitioner | Medical Doctor | 108914 | 11/15/2024 |
| LEE, EUGENE C | Supervising Prescribing Practitioner | Medical Doctor | 115521 | 11/15/2024 |
| LISANKIE, MATTHEW JOSEPH II | Supervising Prescribing Practitioner | Medical Doctor | 132249 | 11/15/2024 |
| LONGLEY, MICHAEL BRUCE | Supervising Prescribing Practitioner | Medical Doctor | 94125 | 11/15/2024 |
| LOYD, ANNA MAE | Supervising Prescribing Practitioner | Osteopathic Physician | 12492 | 11/15/2024 |
| MADAR, MERCI GRACE | Supervising Prescribing Practitioner | Medical Doctor | 117554 | 11/15/2024 |
| MALAGON, BRITTANY FAYE | Supervising Prescribing Practitioner | Medical Doctor | 140228 | 11/15/2024 |
| MARGERUM, GAIL SHAW | Supervising Prescribing Practitioner | Medical Doctor | 98283 | 11/15/2024 |
| MARTINO, ELIZABETH | Supervising Prescribing Practitioner | Medical Doctor | 140956 | 01/15/2024 |
| MATHUR, MONAL PATEL | Supervising Prescribing Practitioner | Medical Doctor | 101062 | 11/15/2024 |
| MATHUR, RAJNEESH | Supervising Prescribing Practitioner | Osteopathic Physician | 10264 | 11/15/2024 |
| MCINTOSH, SAMANTHA ALEXINE | Supervising Prescribing Practitioner | Medical Doctor | 145422 | 11/15/2024 |
| MIAH, BAHAR | Supervising Prescribing Practitioner | Medical Doctor | 108183 | 11/15/2024 |
| MILEY, KASIA | Supervising Prescribing Practitioner | Medical Doctor | 152375 | 11/15/2024 |
| MILLS, TYLER | Supervising Prescribing Practitioner | Osteopathic Physician | 18796 | 11/15/2024 |
| NANAVATI, POOJA | Supervising Prescribing Practitioner | Medical Doctor | 131540 | 11/15/2024 |
| NANDA, PAUL KALRA | Supervising Prescribing Practitioner | Medical Doctor | 117861 | 01/09/2020 |
| NAPPI, ALEX | Supervising Prescribing Practitioner | Medical Doctor | 125466 | 11/15/2024 |
| NEWMAN, ALISA JANELL | Supervising Prescribing Practitioner | Medical Doctor | 146748 | 11/15/2024 |
| OCZYPOK, MATTHEW PAUL | Supervising Prescribing Practitioner | Medical Doctor | 158415 | 11/15/2024 |
| ORTOLANI, MARK TIMOTHY | Supervising Prescribing Practitioner | Medical Doctor | 156092 | 11/15/2024 |
| PARTYKA, BRONISLAW J | Supervising Prescribing Practitioner | Medical Doctor | 114822 | 11/15/2024 |
| PATCH, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 132395 | 11/15/2024 |
| PEPE, JOSEPH JR | Supervising Prescribing Practitioner | Osteopathic Physician | 16193 | 11/15/2024 |
| PERFETTI, JOYCE | Supervising Prescribing Practitioner | Osteopathic Physician | 15807 | 11/15/2024 |
| PERRY, PAMELA MARIA MD | Supervising Prescribing Practitioner | Medical Doctor | 108679 | 11/15/2024 |
| PORTO, ADRIANA | Supervising Prescribing Practitioner | Medical Doctor | 143122 | 11/15/2024 |
| POUND, AMY MARIE | Supervising Prescribing Practitioner | Medical Doctor | 148582 | 11/15/2024 |
| PRATOR, PAUL CARL M D | Supervising Prescribing Practitioner | Medical Doctor | 92865 | 11/15/2024 |
| PURCELL, JENNIFER | Supervising Prescribing Practitioner | Osteopathic Physician | 18765 | 11/15/2024 |
| RAGBEER, DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 17806 | 11/15/2024 |
| REYNOLDS, KYLE | Supervising Prescribing Practitioner | Osteopathic Physician | 18684 | 11/15/2024 |
| ROMANO, FREDERICK P | Supervising Prescribing Practitioner | Osteopathic Physician | 11078 | 11/15/2024 |
| ROSA-DE JESUS, CLARINES | Supervising Prescribing Practitioner | Medical Doctor | 110997 | 11/15/2024 |
| ROY, BRIAN RENE | Supervising Prescribing Practitioner | Osteopathic Physician | 10273 | 11/15/2024 |
| RUBERO, JOSE A | Supervising Prescribing Practitioner | Medical Doctor | 84660 | 11/15/2024 |
| SAAD, AMANDA | Supervising Prescribing Practitioner | Medical Doctor | 160404 | 11/15/2024 |
| SAMUEL, PETER AIAD | Supervising Prescribing Practitioner | Medical Doctor | 132116 | 11/15/2024 |
| SANTAYANA, RICARDO JR | Supervising Prescribing Practitioner | Medical Doctor | 119115 | 11/15/2024 |
| SCHWARTZ, MATTHEW ABRAM | Supervising Prescribing Practitioner | Medical Doctor | 135491 | 11/15/2024 |
| SCOTT, DAVID | Supervising Prescribing Practitioner | Medical Doctor | 143679 | 11/15/2024 |
| SELLEY, JEREMY KENT | Supervising Prescribing Practitioner | Osteopathic Physician | 13512 | 11/15/2024 |
| SELLEY, VICTORIA HUTTO | Supervising Prescribing Practitioner | Osteopathic Physician | 15469 | 11/15/2024 |
| SHAH, SHIRALI | Supervising Prescribing Practitioner | Medical Doctor | 134469 | 11/15/2024 |
| SHERIFF, ALEXANDRA HELENA | Supervising Prescribing Practitioner | Medical Doctor | 159911 | 11/15/2024 |
| SHOKUR, NIKITA | Supervising Prescribing Practitioner | Medical Doctor | 162627 | 11/15/2024 |
| SIMPSON, ALISON L | Supervising Prescribing Practitioner | Medical Doctor | 74810 | 11/15/2024 |
| SMITH, MATTHEW WAYNE | Supervising Prescribing Practitioner | Osteopathic Physician | 16446 | 11/15/2024 |
| SNEAD, THOMAS LEE II | Supervising Prescribing Practitioner | Medical Doctor | 116520 | 11/15/2024 |
| STAFF, KRISTINE E | Supervising Prescribing Practitioner | Medical Doctor | 117924 | 11/15/2024 |
| SWAN, TRICIA BRENEE | Supervising Prescribing Practitioner | Medical Doctor | 107005 | 11/15/2024 |
| TALADRIZ, ARTURO | Supervising Prescribing Practitioner | Medical Doctor | 66011 | 11/15/2024 |
| THOMAS, SHERWIN ZACHARIAH | Supervising Prescribing Practitioner | Medical Doctor | 149747 | 11/15/2024 |
| TIMMEL, MARK | Supervising Prescribing Practitioner | Medical Doctor | 151869 | 11/15/2024 |
| UMANSKY, AARON JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 151420 | 11/15/2024 |
| VACCARO, LISA MARIE | Supervising Prescribing Practitioner | Osteopathic Physician | 18651 | 11/15/2024 |
| VAN ETTEN, BRITTNEY MICHELLE | Supervising Prescribing Practitioner | Osteopathic Physician | 17756 | 11/15/2024 |
| VELASCO, WILLIAM J | Supervising Prescribing Practitioner | Medical Doctor | 121914 | 11/15/2024 |
| WALDMAN, ALEX JEFFREY | Supervising Prescribing Practitioner | Medical Doctor | 143889 | 11/15/2024 |
| WEIN, DAVID ABRAHAM | Supervising Prescribing Practitioner | Medical Doctor | 99292 | 10/17/2023 |
| WHITE, JEREMY V | Supervising Prescribing Practitioner | Osteopathic Physician | 11399 | 11/15/2024 |
| WILLIAMS, ARTHUR LEE II | Supervising Prescribing Practitioner | Medical Doctor | 107960 | 11/15/2024 |
| YOHANNES-PETERS, FITSUM | Supervising Prescribing Practitioner | Medical Doctor | 92187 | 11/15/2024 |
| YONTECK, FREDERICK TODD | Supervising Prescribing Practitioner | Medical Doctor | 87287 | 11/15/2024 |
| ZAYAS MALDONADO, DAY ONILL | Supervising Prescribing Practitioner | Medical Doctor | 131573 | 11/15/2024 |
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
| 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.
