License Verification

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MICHELLE ELIZABETH PEZO

License Number: PA9118634

Data As Of 4/10/2025

Profession
Physician Assistant
License
PA9118634
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
03/19/2024
Address of Record
3931 Executive Drive
PALM HARBOR, FL 34685
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
BASTA, MARTEN NABIL Supervising Prescribing Practitioner Medical Doctor 157378 02/25/2025
EVGENIOU, EVGENIOS Supervising Prescribing Practitioner Medical Doctor 159448 03/06/2025
NEVES, ROGERIO IZAR Supervising Prescribing Practitioner Medical Doctor 169429 02/26/2025
OLLA, DANIELLE ROSE Supervising Dispensing Practitioner Medical Doctor 168853 02/21/2025
OLLA, DANIELLE ROSE Supervising Prescribing Practitioner Medical Doctor 168853 02/21/2025

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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 4/10/2025



* 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.