License Verification

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MARGARITA URIBE

License Number: PA9115545

Data As Of 6/28/2025

Profession
Physician Assistant
License
PA9115545
License Status
DELINQUENT/
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2024
License Original Issue Date
01/20/2022
Address of Record
1170 NW 11th St
Apt A-429
Miami
MIAMI, FL 33136
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
940 Centre Circle Wellspring Regenerative Medicine, LLC
ALTAMONTE SPRINGS, FL 32714
Address
701 Ridgewood Avenue Wellspring Health, LLC Uniit B
HOLLY HILL, FL 32117
Address
2415 S Volusia Avenue Wellspring Health Orlando LLC A-2
ORANGE CITY, FL 32763
Address
940 Centre Circle Whiplash MD LLC
ALTAMONTE SPRINGS, FL 32714
Name Relationship Profession License Effective Date
COELLO, ABILIO ARMANDO MD Supervising Prescribing Practitioner Medical Doctor 26862 05/27/2022
DERGAN, JOSEPH Supervising Prescribing Practitioner Medical Doctor 144700 05/27/2022
KATZMAN, HOWARD E MD Supervising Prescribing Practitioner Medical Doctor 11726 05/27/2022
RUA, IGNACIO Supervising Prescribing Practitioner Medical Doctor 66659 05/27/2022
TAUBMAN, MICHELE LYNN Supervising Prescribing Practitioner Medical Doctor 124018 05/27/2022
TSOUKAS, ATHANASSIOS IOANNIS Supervising Prescribing Practitioner Medical Doctor 77299 05/27/2022
WATCH, LIBBY SUSAN Supervising Prescribing Practitioner Medical Doctor 109569 05/27/2022

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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 6/28/2025



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** 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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