License Verification

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NATHAN KEITH WALDREP

License Number: ME58834

Data As Of 10/19/2026

Profession
Medical Doctor
License
ME58834
License Status
Clear/Active
Qualifications
Dispensing Practitioner
STATE OF PRINCIPAL LICENSURE
Letter of Qualification
License Expiration Date
1/31/2027
License Original Issue Date
10/24/1990
Address of Record
1734 Eagles Nest Drive
BELLEAIR, FL 33756
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
11178 State Road 54 Ste B
NEW PORT RICHEY, FL 34655
Address
18610 Fernview St
LAND O LAKES, FL 34638
Address
2442 Bloomingdale Ave
VALRICO, FL 33596
Address
10125 Big Bend Rd Ste 100
RIVERVIEW, FL 33578
Address
2645 S Florida Ave Ste 5
LAKELAND, FL 33803
Address
3351 N McMullen Booth Rd
CLEARWATER, FL 33761
Address
1599 66th Street N
SAINT PETERSBURG, FL 33710
Address
1155 S. Dale Mabry Hwy Ste 7
TAMPA, FL 33629
Address
17512 Dona Michelle Drive Ste 5
TAMPA PALMS, FL 33647
Address
2331 4th Street North
SAINT PETERSBURG, FL 33704
Address
3440 W. Dr. MLK Blvd Ste 100
TAMPA, FL 33607
Address
36245 US Highway 27
HAINES CITY, FL 33844
Address
711 S Belcher Road
CLEARWATER, FL 33764
Address
11921 N. Dale Mabry Hwy Suite 7
TAMPA, FL 33618
Address
4821 US HIGHWAY 19 N STE 5
NEW PORT RICHEY, FL 34652
Address
400 1ST STREET NORTH BAYCARE URGENT CARE
WINTER HAVEN, FL 33881
Address
1601 W Timberlane Dr Ste 100
PLANT CITY, FL 33566
Name Relationship Profession License Effective Date
WALDREP, NATHAN KEITH Supervising Prescribing Practitioner Medical Doctor 58834 01/03/2024

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Name Relationship Profession License Effective Date
BAYFRONT ENTERPRISES INC HCCE Health Care Clinic Establishment Permit 4316 2/23/2011
BAYFRONT ENTERPRISES INC HCCE Health Care Clinic Establishment Permit 4317 2/23/2011
BAYFRONT ENTERPRISES INC. HCCE Health Care Clinic Establishment Permit 4204 2/23/2011
BAYFRONT ENTERPRISES INC. HCCE Health Care Clinic Establishment Permit 4203 2/23/2011
BAYFRONT ENTERPRISES INC. HCCE Health Care Clinic Establishment Permit 4315 2/23/2011
BAYFRONT ENTERPRISES INC. HCCE Health Care Clinic Establishment Permit 4314 2/23/2011
LY, KEVIN Prescribing Physician Assistant Physician Assistant 9112466 9/13/2021
WALDREP, NATHAN KEITH Prescribing Physician Assistant Medical Doctor 58834 1/3/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/19/2026



* 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.