License Verification

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JOSEPH CARMINE RANDAZZO

License Number: PA9112498

Data As Of 4/9/2025

Profession
Physician Assistant
License
PA9112498
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/10/2019
Address of Record
2727 W Dr. Martin Luther King
suite 320
TAMPA, FL 33607
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1324 Lakeland Hils Blvd
LAKELAND, FL 33805
Name Relationship Profession License Effective Date
BRENNER, LAURENCE HARVEY Supervising Prescribing Practitioner Medical Doctor 91864 10/01/2021
HAK, DAVID JOHN Supervising Prescribing Practitioner Medical Doctor 138358 05/06/2021
JOHN, MARIO ANTONIO Supervising Prescribing Practitioner Medical Doctor 118804 10/30/2021
MILLER, BENJAMIN K Supervising Prescribing Practitioner Medical Doctor 113475 12/01/2019
THOMPSON, JOHNATHAN HEATH Supervising Prescribing Practitioner Osteopathic Physician 15270 05/06/2021
WICKS, ERIC DOUGLAS Supervising Prescribing Practitioner Medical Doctor 118027 12/01/2019

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/9/2025



* 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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