License Verification

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RAVIENDER BUKKAPATNAM MD

License Number: ME90062

Data As Of 4/28/2025

Profession
Medical Doctor
License
ME90062
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/12/2004
Address of Record
1 Davis Blvd Ste 604
FLORIDA UROLOGY PARTNERS
TAMPA, FL 33606
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3140 S Falkenburg Road Ste 203
RIVERVIEW, FL 33578
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ANDERSON, SARAH KATHRYN Prescribing Physician Assistant Physician Assistant 9113640 2/8/2024
FLORIDA UROLOGY PARTNERS, LLP HCCE Health Care Clinic Establishment Permit 2965 1/15/2009
MOAN, AMY CHRISTINE Dispensing Physician Assistant Physician Assistant 9101907 1/19/2016

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/28/2025



* 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.


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