License Verification

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SCOTT ALLEN SANFORD M.D.

License Number: ME63841

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME63841
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
05/10/1993
Address of Record
5550 S. US Hwy 1
FORT PIERCE, FL 34982
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1900 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
Address
1730 SW St. Lucie West Blvd
PORT ST. LUCIE, FL 34986
Address
1801 NE Jensen Beach Blvd
JENSEN BEACH, FL 34957
Address
4007 SW Port St. Lucie Blvd
PORT ST. LUCIE, FL 34953
Address
1730 SW Port St. Lucie Blvd
PORT ST. LUCIE, FL 34986
Address
901 Currency Circle Unit 101
LAKE MARY, FL 32746
Address
7460 University Blvd
WINTER PARK, FL 32792
Address
5102 State Hwy 46
SANFORD, FL 32771
Address
4670 Marigold Ave
POINCIANA, FL 34758
Name Relationship Profession License Effective Date

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

Name Relationship Profession License Effective Date
BUCKALOO, JASON W Prescribing Physician Assistant Physician Assistant 9117647 11/11/2024
BURKHARDT, JUSTIN Prescribing Physician Assistant Physician Assistant 9111497 8/28/2023
CATERINA, NANCY Prescribing Physician Assistant Physician Assistant 9110277 12/13/2023
GATES, KOURTNEY L Prescribing Physician Assistant Physician Assistant 9117719 10/4/2024
HAMANN, JOSHUA ANDREW Prescribing Physician Assistant Physician Assistant 9115152 12/13/2023
PATEL, NEHA Prescribing Physician Assistant Physician Assistant 9110926 11/20/2023
RICKARDS, CLEVELAND A Prescribing Physician Assistant Physician Assistant 9112293 11/27/2024
WITTEMAN, ESTEFANIE A PA-C Prescribing Physician Assistant Physician Assistant 9109258 11/21/2023
ZIGROSSER, KENNETH EDWARD Prescribing Physician Assistant Physician Assistant 9117585 10/23/2023

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.