License Verification

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MARK ANTHONY DESOMMA

License Number: PA9101246

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9101246
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/16/2000
Address of Record
2776 Cleveland Avenue
Lee Memorial Hospital
FORT MYERS, FL 33901
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
LEE MEMORIAL HOSPITAL 2776 CLEVELAND AVE.
FT MYERS, FL 33901
Name Relationship Profession License Effective Date
BACKSTROM, IAN CHARLES Supervising Prescribing Practitioner Medical Doctor 122968 04/22/2019
BOYETTE, LEAH BAKER Supervising Prescribing Practitioner Medical Doctor 120217 04/22/2019
BRYCE, SUZANNE NELLIE Supervising Prescribing Practitioner Medical Doctor 131421 04/22/2019
DALLEY, ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 40732 04/22/2019
DUNN, CARRIE STRAUSS Supervising Prescribing Practitioner Medical Doctor 93425 04/22/2019
DUNN, MICHAEL ROBERTS Supervising Prescribing Practitioner Medical Doctor 81601 04/22/2019
FELT, SUZANNE ELIZABETH MD Supervising Prescribing Practitioner Medical Doctor 101268 04/22/2019
FELT, WILLIAM MARK III Supervising Prescribing Practitioner Medical Doctor 101243 04/22/2019
FORTIER, GLEN THOMAS MD Supervising Prescribing Practitioner Medical Doctor 52203 04/22/2019
GOLDNER, DAVID ELIOT Supervising Prescribing Practitioner Medical Doctor 111954 04/22/2019
GOSTIGIAN, JAMES SATROG Supervising Prescribing Practitioner Medical Doctor 59961 04/22/2019
GUPTA, TUSHAR Supervising Prescribing Practitioner Medical Doctor 136529 04/22/2019
HOWELL, ROGER A Supervising Prescribing Practitioner Osteopathic Physician 5678 04/22/2019
INGRAM, JEREMY DAVID Supervising Prescribing Practitioner Osteopathic Physician 10697 04/22/2019
KENNEDY, DANIEL PATRICK MD Supervising Prescribing Practitioner Medical Doctor 83340 04/22/2019
LAOANG, JEFFREY G Supervising Prescribing Practitioner Medical Doctor 94885 04/22/2019
LEE, DOUGLAS S Supervising Prescribing Practitioner Medical Doctor 94545 04/22/2019
LOZIER, STEPHEN JAMES Supervising Prescribing Practitioner Medical Doctor 126744 04/22/2019
MACCHIAROLI, RICHARD CARMINE Supervising Prescribing Practitioner Medical Doctor 79168 04/22/2019
ONDRAKO, DAVID M Supervising Prescribing Practitioner Medical Doctor 138117 04/22/2019
PHILIP, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 133186 04/22/2019
PONDER, CHRISTOPHER HAWTHORNE Supervising Prescribing Practitioner Medical Doctor 127669 04/22/2019
ROBBEN, CHRISTOPHER NORMAN Supervising Prescribing Practitioner Medical Doctor 86324 04/22/2019
SATLOFF, SARA PATRICIA Supervising Prescribing Practitioner Medical Doctor 113578 04/22/2019
TANN, CHRISTOPHER WILLIAM Supervising Prescribing Practitioner Medical Doctor 125713 04/22/2019
TENNYSON, JUSTIN JAMES Supervising Prescribing Practitioner Medical Doctor 133457 04/22/2019
THURLING, DENISE CONLEY MD Supervising Prescribing Practitioner Medical Doctor 101347 04/22/2019
WILSON, JASON TODD Supervising Prescribing Practitioner Medical Doctor 82009 04/22/2019
WOHL, AARON ANTHONY Supervising Prescribing Practitioner Medical Doctor 90567 04/22/2019
ZIMMERMAN, HENRY WILLIAM JR Supervising Prescribing Practitioner Medical Doctor 102953 04/22/2019

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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.