License Verification

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BRUCE D BURSTEIN

License Number: ME70595

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME70595
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/07/1996
Address of Record
96 Willard St #306
COCOA, FL 32922
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
951 N Washington Ave
TITUSVILLE, FL 32796
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ALI, MOHAMED SYAD Prescribing Physician Assistant Physician Assistant 9104732 11/24/2024
BASTIN, JOHN PATRICK PA-C Prescribing Physician Assistant Physician Assistant 9110037 11/24/2024
BURNS, AMANDA MICHELLE Prescribing Physician Assistant Physician Assistant 9116653 11/24/2024
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 11/24/2024
DJOUINI, MERIEM Prescribing Physician Assistant Physician Assistant 9116041 11/24/2024
HANDT, TYLER JASON Prescribing Physician Assistant Physician Assistant 9116177 11/24/2024
JOHNSON, MICHAEL Prescribing Physician Assistant Physician Assistant 9111371 11/24/2024
LANGDON, PHILLIP NEIL Prescribing Physician Assistant Physician Assistant 9109345 11/24/2024
LEONIDES, ROCIO Prescribing Physician Assistant Physician Assistant 9111441 11/24/2024
NAYEEM, NAZMUL HASAN Prescribing Physician Assistant Physician Assistant 9117106 11/24/2024
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 11/24/2024
PITTMAN, CARLOS TERRELL Prescribing Physician Assistant Physician Assistant 9107816 11/24/2024
SIDUN, NICHOLAS Prescribing Physician Assistant Physician Assistant 9116132 11/24/2024
SIGNORE, STEPHEN JOSEPH MR Prescribing Physician Assistant Physician Assistant 2754 11/24/2024
SMIT, MARIA VALENTI Prescribing Physician Assistant Physician Assistant 9105510 11/24/2024
SMITHBACK, PAIGE CLAIRE Prescribing Physician Assistant Physician Assistant 9117557 11/24/2024
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 11/24/2024
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 11/24/2024
WILSON, SHERENE NASHARA Prescribing Physician Assistant Physician Assistant 9106036 11/24/2024

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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.