License Verification

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SAMUEL VINCENT PELLEGRINO JR

License Number: ME84614

Data As Of 12/24/2024

Profession
Medical Doctor
License
ME84614
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/01/2002
Address of Record
1350 S Hickory Street
Holmes Regional Medical Center
MELBOURNE, FL 32901
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
ASHTON, STACEY ELIZABETH Prescribing Physician Assistant Physician Assistant 9106270 3/27/2018
DONESEC, KRISTEN COLLEEN Prescribing Physician Assistant Physician Assistant 9105737 3/9/2017
JOHNSON, NATASHA NICOLE Prescribing Physician Assistant Physician Assistant 9107999 3/9/2017
MOSER, DANIELLE MARIE Prescribing Physician Assistant Physician Assistant 9105821 4/11/2017
NELSON, KRISTA WERT Prescribing Physician Assistant Physician Assistant 9108801 3/1/2017
VELEZ-LEBRON, SELENA Prescribing Physician Assistant Physician Assistant 9108623 3/9/2017

Click on the License Number to view License Details for that Practitioner

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 12/24/2024



* 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.