License Verification

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CHRISTY LASSITER DELCAMP

License Number: PA9105893

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9105893
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/19/2011
Address of Record
6010 Park Blvd N
SAINT PETERSBURG, FL 33781
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
ABRAHAMSEN, NADIA Supervising Prescribing Practitioner Medical Doctor 108847 02/28/2018
ANCHETA, JOEY SALDANA MD Supervising Prescribing Practitioner Medical Doctor 72598 09/13/2017
BROWN, RICHARD Supervising Prescribing Practitioner Medical Doctor 132286 09/13/2017
COBB WEYAND, ALYSSA CLAIRE Supervising Prescribing Practitioner Physician Assistant 9109483 08/01/2021
DUBEY, JESSE VINCENT Supervising Prescribing Practitioner Osteopathic Physician 13099 10/04/2018
FISHER, ALLEN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 6992 08/01/2021
JOHN, TESHY VARUGHESE Supervising Prescribing Practitioner Medical Doctor 125364 12/01/2018
KLEINMAN, DANA Supervising Prescribing Practitioner Osteopathic Physician 11037 07/24/2021
MEMON, SUMERA HAROON Supervising Prescribing Practitioner Osteopathic Physician 11668 10/04/2018
MOURSI, HOUSAM DO Supervising Prescribing Practitioner Osteopathic Physician 7173 07/25/2021
NEWHALLER, DANIEL J Supervising Prescribing Practitioner Osteopathic Physician 5594 08/18/2021
NWAUCHE, UGWUALA Supervising Prescribing Practitioner Medical Doctor 140368 09/02/2021
ORBEZO, ANED M Supervising Prescribing Practitioner Medical Doctor 95479 08/01/2021
PILGRIM, RANDAL LEE MD Supervising Prescribing Practitioner Medical Doctor 62374 07/24/2021
RENNIE, CHAD TROY Supervising Prescribing Practitioner Medical Doctor 151065 09/02/2021
SANTIAGO-APONTE, RAFAEL A Supervising Prescribing Practitioner Medical Doctor 114771 08/31/2021
SMITH, JAMES RONALD Supervising Prescribing Practitioner Medical Doctor 88216 07/28/2021
SUEN, ANDREA CATHERINE Supervising Prescribing Practitioner Medical Doctor 116964 12/01/2018
TICKETT, SHELLEY SMITH Supervising Prescribing Practitioner Medical Doctor 90313 02/28/2018
VIK, DAVID FRANCIS Supervising Prescribing Practitioner Medical Doctor 131797 08/01/2021
VYTYKAC, ADAM Supervising Prescribing Practitioner Medical Doctor 115497 10/04/2018

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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.