License Verification

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BARTON GLEN SICKINGER

License Number: OS5006

Data As Of 11/4/2024

Profession
Osteopathic Physician
License
OS5006
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
01/24/1986
Address of Record
103 MEMORIAL MEDICAL PARKWAY
SUITE 200
DAYTONA BEACH, FL 32117
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
BIANCO, ROBERT CHRISTOPHER Supervisor Medical Doctor 57906 12/04/2020
COX-ALOMAR, PEDRO R Supervisor Medical Doctor 117537 12/04/2020
GONZALEZ, MELCHOR ELIAS Supervisor Medical Doctor 72928 12/04/2020
HORENSTEIN, JOSHUA ADAM Supervisor Medical Doctor 104918 12/04/2020
KLANCKE, KIM A Supervisor Medical Doctor 39807 12/04/2020
LUPERCIO LOPEZ, FLORENTINO ALBERTO Supervisor Medical Doctor 144467 11/30/2020
PETERSON, VINCENT GLENN Supervisor Osteopathic Physician 14032 12/04/2020
RAO, SURYA PRAKASH Supervisor Medical Doctor 96830 12/04/2020
SEIDE, HANSCY Supervisor Medical Doctor 77584 12/04/2020
SHAH, UMANG LALIT Supervisor Medical Doctor 140253 12/04/2020
WALKER, JOHN L MD Supervisor Medical Doctor 22583 12/04/2020
WILLIAMS, DAVID LOWELL Supervisor Medical Doctor 35686 12/04/2020
WILSON, NILOUFAR Supervisor Medical Doctor 143954 12/04/2020

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Name Relationship Profession License Effective Date
BAMBERGER, DAVID WILLIAM Prescribing Physician Assistant Physician Assistant 2661 4/21/2017

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/5/2024



* 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.