License Verification

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TRACEY CARROLL PATRICOFF

License Number: ME56325

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME56325
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/24/1989
Address of Record
6200 SW 73 STREET
MIAMI, FL 33143
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BOGDANOVA, ANNA L Prescribing Physician Assistant Physician Assistant 9105154 7/19/2016
GOMEZ YATES, JESSICA GABRIELLE Prescribing Physician Assistant Physician Assistant 9106649 7/8/2016
GUERRERO, JORGE ALBERT Prescribing Physician Assistant Physician Assistant 9104178 6/28/2016
MALAKOTI, DIYANA Prescribing Physician Assistant Physician Assistant 9103269 6/28/2016
STEWART, MARKIRA OLGA Prescribing Physician Assistant Physician Assistant 9107494 7/13/2016
SUKHWANI, ARTI V Prescribing Physician Assistant Physician Assistant 9100958 7/28/2016
ZAPATA, DARIO HERMAN Prescribing Physician Assistant Physician Assistant 9103082 7/6/2016

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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 12/22/2024



* 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.