License Verification

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MARTEN NABIL BASTA

License Number: ME157378

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME157378
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/07/2022
Address of Record
10920 N McKinley Drive
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
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
MARRA, RACHEL HEEREY Prescribing Physician Assistant Physician Assistant 9116052 6/20/2023
MASSARO, JEFFREY Prescribing Physician Assistant Physician Assistant 9113916 9/12/2022
NGO, SABRINA THUY NGAN Prescribing Physician Assistant Physician Assistant 9116066 12/4/2023
PATE, SYDNEY ROSE Prescribing Physician Assistant Physician Assistant 9116115 12/4/2023
SCHUMAN, MADISON JEHN MARIE Prescribing Physician Assistant Physician Assistant 9116547 5/10/2023
ZAMBETTI, LAURA ELEANOR Prescribing Physician Assistant Physician Assistant 9109009 2/28/2023

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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 12/23/2024



* 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.