License Verification

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ANGELA LYNN RICCI

License Number: PA9105845

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9105845
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/20/2010
Address of Record
301 MEMORIAL MEDICAL PARKWAY
FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER
DAYTONA BEACH, FL 32117
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
60 MEMORIAL MEDICAL PKWY FLORIDA HOSPITAL FLAGER
PALM COAST, FL 32164
Address
401 PALMETTO ST FLORIDA HOSPITAL NEW SMYRNA
NEW SMYRNA BEACH, FL 32168
Address
1055 SAXON BLVD FLORIDA HOSPITAL FISH MEMORIAL
ORANGE CITY, FL 32763
Address
701 W. PLYMOUTH AVE. FLORIDA HOSPITAL DELAND
DELAND, FL 32720
Name Relationship Profession License Effective Date
BARRY, WAYNE S MD Supervising Prescribing Practitioner Medical Doctor 51146 08/01/2016
CANALIZO, JOHN BUCKLEY Supervising Prescribing Practitioner Medical Doctor 67318 08/01/2016
CANTU, MONICA EDITH Supervising Prescribing Practitioner Medical Doctor 122370 08/01/2016
LIVINGSTON, ROBERT TERENCE Supervising Prescribing Practitioner Medical Doctor 83159 10/04/2016
MCNAMEE, JUSTIN JAMES Supervising Prescribing Practitioner Osteopathic Physician 12888 10/04/2016
MOHAMMED, RICHARD SHAMEED MD Supervising Prescribing Practitioner Medical Doctor 64855 08/15/2016
MOSES, DUSTY ALLEN DR Supervising Prescribing Practitioner Medical Doctor 115932 10/04/2016
MUCCIOLO, PAUL MD Supervising Prescribing Practitioner Medical Doctor 69281 10/04/2016
PODHAJSKY, LINDSAY MARIE MD Supervising Prescribing Practitioner Medical Doctor 117041 08/01/2016
RAMIA, MICHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 116871 10/04/2016
RIGA, PETER J Supervising Prescribing Practitioner Osteopathic Physician 10944 10/01/2016
ROBERTS, JUDY JENNIFER DO Supervising Prescribing Practitioner Osteopathic Physician 9253 10/01/2016
ROSATI, SAMUEL M Supervising Prescribing Practitioner Medical Doctor 103357 08/15/2016
SISKO, MATTHEW DAVID Supervising Prescribing Practitioner Medical Doctor 111919 10/04/2016
WEINER, TRACY I DO Supervising Prescribing Practitioner Osteopathic Physician 7471 10/04/2016

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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.