License Verification

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EDDIE TUMANENG

License Number: PA9103215

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9103215
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/24/2005
Address of Record
9330 STATE ROAD 54
MEDICAL CENTER OF TRINITY
TRINITY, FL 34655
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
14000 FIVAY RD. REGIONAL MEDICAL CENTER BAYONET POINT
HUDSON, FL 34667
Name Relationship Profession License Effective Date
CANO, ROBERT ANTHONY DO Supervising Prescribing Practitioner Osteopathic Physician 7269 11/29/2016
CASTANO, FRANCIS FAN M D Supervising Prescribing Practitioner Medical Doctor 64422 11/29/2016
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 11/29/2016
KLEINMAN, DANA Supervising Prescribing Practitioner Osteopathic Physician 11037 11/29/2016
NASR, RAMY MOHAMED ZAKI MD Supervising Prescribing Practitioner Medical Doctor 117829 11/29/2016
NAZARY, NEK NAZAR Supervising Prescribing Practitioner Medical Doctor 117096 11/29/2016
NESSELROADE, RYAN DAVID Supervising Prescribing Practitioner Medical Doctor 106189 11/29/2016
OSBORNE, AARON RYAN Supervising Prescribing Practitioner Medical Doctor 108215 11/29/2016
PRATOR, PAUL CARL M D Supervising Prescribing Practitioner Medical Doctor 92865 11/29/2016
WHITE, GREGORY RICHARD MR Supervising Prescribing Practitioner Medical Doctor 39946 11/29/2016

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Name Relationship Profession License Effective Date

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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.