License Verification

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MATT L LEAVITT

License Number: OS5365

Data As Of 4/27/2025

Profession
Osteopathic Physician
License
OS5365
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
09/30/1987
Address of Record
260 LOOKOUT PLACE
SUITE 103
MAITLAND, FL 32751
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1801 Lee Road Suite 115 & 175
WINTER PARK, FL 32789
Address
1410 W Broadway Suite 205
OVIEDO, FL 32765
Address
1816 Salk Avenue
TAVARES, FL 32778
Address
80 W. Grant Street Suite 117
ORLANDO, FL 32806
Address
9368 NARCOOSSEE ROAD SUITE 104
ORLANDO, FL 32827
Address
851 Outer Road Suite 200
ORLANDO, FL 32814
Address
2915 Lakeview Drive Suite 2021
FERN PARK, FL 32730
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
LEAVITT MEDICAL ASSOCIATES OF FLORIDA, I HCCE Health Care Clinic Establishment Permit 3155 1/28/2010
LEAVITT MEDICAL ASSOCIATES OF FLORIDA, I HCCE Health Care Clinic Establishment Permit 3156 1/28/2010
LEAVITT MEDICAL ASSOCIATES OF FLORIDA, I HCCE Health Care Clinic Establishment Permit 3157 1/28/2010
LEAVITT MEDICAL ASSOCIATES OF FLORIDA, I HCCE Health Care Clinic Establishment Permit 3173 1/28/2010
LEAVITT MEDICAL GROUP HCCE Health Care Clinic Establishment Permit 3187 1/28/2010
NIEVES, BRANDON JOSHUA Prescribing Physician Assistant Physician Assistant 9107503 11/26/2018
SIAK, SARAH Prescribing Physician Assistant Physician Assistant 9101340 3/20/2019
TURNER, ISABELLA Prescribing Physician Assistant Physician Assistant 9108281 10/24/2019
WILKS, SHAUNTE RENEE Prescribing Physician Assistant Physician Assistant 9109978 4/12/2017

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/27/2025



* 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.