License Verification

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TARA MARIE DISALLE

License Number: PA9118241

Data As Of 9/3/2026

Profession
Physician Assistant
License
PA9118241
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
12/01/2023
Address of Record
4332 Cortez Rd.
BRADENTON, FL 34210
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2200 Tamiami Trail
PORT CHARLOTTE, FL 33948
Address
5616 Tuscola Blvd
NORTH PORT, FL 34287
Address
313 SW Pine Island Rd
CAPE CORAL, FL 33991-2043
Address
7337 University Parkway
LAKEWOOD RANCH, FL 34202
Address
3110 Fruitville Commons Blvd
SARASOTA, FL 34240
Address
10735 SR 64 E
BRADENTON, FL 34212
Name Relationship Profession License Effective Date
SASSANO, JOSEPH A Supervising Dispensing Practitioner Osteopathic Physician 6016 08/15/2025
SASSANO, JOSEPH A Supervising Prescribing Practitioner Osteopathic Physician 6016 09/22/2025
WETHERINGTON, JENNIFER LYN Supervising Prescribing Practitioner Medical Doctor 97271 12/26/2023

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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 9/3/2026



* 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.