License Verification

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SERGIO GUGISCH MOREIRA JR

License Number: ME89888

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME89888
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
03/15/2004
Address of Record
320 Racetrack Rd NW
Ste 100C
Ste 100C
FT WALTON BEACH, FL 32547-1796
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ELLISON, KENNETH ROBERT Prescribing Physician Assistant Physician Assistant 9106823 9/12/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* 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.