License Verification

Printer Friendly Version

MARK KENNETH DICARLO

License Number: PA3676

Data As Of 12/24/2024

Profession
Physician Assistant
License
PA3676
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/22/1998
Address of Record
509 RIVERSIDE DR
SUITE 305
STUART, FL 34994
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
200 SE Hospital Ave
STUART, FL 34995
Address
2100 SE Salerno Rd
STUART, FL 34997
Address
10000 SW Innovation Way
PORT SAINT LUCIE, FL 34987
Address
10080 SW Innovation Way
PORT SAINT LUCIE, FL 34987
Address
10000 SW INNOVATION WAY TRADITION MEDICAL CENTER
PORT SAINT LUCIE, FL 34987
Address
2100 SE SALERNO RD. MARTIN MEMORIAL SOUTH HOSPITAL
STUART, FL 34997
Address
200 SE HOSPITAL AVE MARTIN MEMORIAL MEDICAL CENTER
STUART, FL 34994
Name Relationship Profession License Effective Date
HATZOUDIS, GEORGIOS Supervising Prescribing Practitioner Medical Doctor 144433 12/01/2021
LANDRY, MILES Supervising Prescribing Practitioner Medical Doctor 146002 03/02/2023
PEEBLES, MATTHEW NELSON Supervising Prescribing Practitioner Medical Doctor 77690 05/06/2024
SKLOW, BRADFORD Supervising Prescribing Practitioner Medical Doctor 152175 03/10/2023

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 12/24/2024



* 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.