License Verification

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MARK ANDREW FOPPE DO

License Number: OS8701

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS8701
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
06/10/2002
Address of Record
441 ENCLAVE PLACE
LAKELAND, FL 33803
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
FALKOWSKI, ROBERT PAUL SR Supervisor Medical Doctor 60514 10/01/2020

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Name Relationship Profession License Effective Date
BOLAND, KEVIN PATRICK Subordinate Osteopathic Physician 12732 9/1/2020
COCHRAN, CHRISTINE DONNA Subordinate Osteopathic Physician 10328 9/1/2020
CONTI, LORETTA MARIE Prescribing Physician Assistant Physician Assistant 9102660 4/6/2022
COWLES, DANA NATHANIEL Subordinate Osteopathic Physician 9752 2/1/2021
CRUZ, WANDA E Subordinate Osteopathic Physician 11330 9/1/2020
GAREL, JOHAN ISAIAH Prescribing Physician Assistant Physician Assistant 9106448 11/20/2021
GRANT-LEVY, TATIA R DO Subordinate Osteopathic Physician 7331 9/1/2020
HAMIL, JUSTIN Prescribing Physician Assistant Physician Assistant 9115544 2/4/2022
HOLT, CHARDE BREANN Prescribing Physician Assistant Physician Assistant 9112643 8/25/2021
JASIMUDDIN, SHEIKH KHWAJA Subordinate Medical Doctor 100463 2/1/2021
KIRTZ, JEREMY FECHTER Subordinate Medical Doctor 108993 9/1/2020
MIAH, BAHAR Subordinate Medical Doctor 108183 9/1/2020
SCOTT, RANDALL EUGENE Prescribing Physician Assistant Physician Assistant 9103913 1/27/2022
SNYDER, JAMES ALLEN Subordinate Osteopathic Physician 9812 9/1/2020

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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.