License Verification

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PURUSHOTTAM MITRA

License Number: ME56306

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME56306
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
04/24/1989
Address of Record
1834 SW 1ST AVE
STE 101
OCALA, FL 34471
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
No
Address
10969 SE 175th Place Suite 200
SUMMERFIELD, FL 34491
Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
ARMSTRONG, LOGAN Prescribing Physician Assistant Physician Assistant 9113381 5/18/2022
BURDEN, CHARITY Prescribing Physician Assistant Physician Assistant 9117433 5/26/2023
BUSHMAN, ALEXIS JO Prescribing Physician Assistant Physician Assistant 9110520 11/22/2024
CECCARDI, ALLISON Prescribing Physician Assistant Physician Assistant 9111208 9/29/2021
FERRO, TAMMY N Prescribing Physician Assistant Osteopathic Physician 11575 9/29/2021
LUGO, KHRISTOPHER MICHAEL Prescribing Physician Assistant Physician Assistant 9101888 2/17/2022
MARCHIOLI, MARC EDWARD Prescribing Physician Assistant Physician Assistant 9106961 8/12/2021
MCCOLLUM, ANDREA LINDSEY Prescribing Physician Assistant Physician Assistant 9113189 7/14/2022
NEAL, HEATHER ANN Prescribing Physician Assistant Physician Assistant 9116342 9/8/2022
NORMAN, FRANCISCO IVAN Prescribing Physician Assistant Physician Assistant 9100660 8/12/2021
RYKER, DENNIS ALAN Prescribing Physician Assistant Physician Assistant 9110399 12/21/2021
SALOMON, SABRINA ALEX Prescribing Physician Assistant Physician Assistant 9103255 11/8/2024

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* 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.