License Verification

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JEFFREY MASSARO

License Number: PA9113916

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9113916
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/21/2020
Address of Record
10920 McKinley Dr.
TAMPA, FL 33612
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
AHMED, ATIF K Supervising Prescribing Practitioner Medical Doctor 149424 05/03/2021
BASTA, MARTEN NABIL Supervising Prescribing Practitioner Medical Doctor 157378 09/12/2022
DURFEE, RYAN ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 129229 05/03/2021
HAWKS, MICHAEL ANTHONY Supervising Prescribing Practitioner Medical Doctor 104554 05/03/2021
NANDA, PAUL KALRA Supervising Dispensing Practitioner Medical Doctor 117861 10/13/2023
ZAGER, JONATHAN SCOTT Supervising Prescribing Practitioner Medical Doctor 96598 01/04/2022

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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 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.