License Verification

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JOHN BUCKLEY CANALIZO

License Number: ME67318

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME67318
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
11/10/1994
Address of Record
1890 LPGA BLVD
SUITE 130
DAYTONA BEACH, FL 32117
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details
Address
1327 Saxon Dr
NEW SMYRNA BEACH, FL 32169
Name Relationship Profession License Effective Date
CANTU, MONICA EDITH Supervising Prescribing Practitioner Medical Doctor 122370 08/03/2020
DINH, NAM Supervisor Medical Doctor 131672 09/01/2020
MARTINEZ, SERGIO ANDRE Supervisor Osteopathic Physician 12799 09/01/2020
NGUYEN, VUONG BINH Supervisor Medical Doctor 83185 09/01/2020

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Name Relationship Profession License Effective Date
FISHER, MICHAEL FRANCIS Dispensing Physician Assistant Physician Assistant 9112796 8/5/2020
FISHER, MICHAEL FRANCIS Prescribing Physician Assistant Physician Assistant 9112796 6/7/2020
HINCKLEY, VICTORIA Dispensing Physician Assistant Physician Assistant 9116268 12/9/2024
JOHNSON, JAMIE JESSE Prescribing Physician Assistant Physician Assistant 9111384 9/21/2018
KHAN, SOHAIL AHMED Prescribing Physician Assistant Physician Assistant 9102828 9/14/2016
MCCABE KLINE, KRISTIN BOND Subordinate Medical Doctor 98422 6/14/2021
MECAJ, BESNIK Prescribing Physician Assistant Physician Assistant 9111490 5/6/2019
MORA, JOANNE Dispensing Physician Assistant Physician Assistant 9118802 12/9/2024
MORA, JOANNE Prescribing Physician Assistant Physician Assistant 9118802 7/25/2024
RICCI, ANGELA LYNN Prescribing Physician Assistant Physician Assistant 9105845 8/1/2016
TEMPEL, RICHARD ANDREW MD Dispensing Physician Assistant Medical Doctor 102329 8/3/2020
TRAN, BRIAN HOANG Prescribing Physician Assistant Osteopathic Physician 10404 8/5/2020
TRAN, BRIAN HOANG Subordinate Osteopathic Physician 10404 8/5/2020
VALENTE, VINCENT GERARD DO Subordinate Osteopathic Physician 10118 8/3/2020
WISSENBACH, CODY Prescribing Physician Assistant Physician Assistant 9114334 4/26/2022
WRIGHT, JEREMY MICHAEL Prescribing Physician Assistant Physician Assistant 9108266 9/27/2016

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Name Relationship Profession License Effective Date

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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.