License Verification

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MICHAEL LOUIS NIEDER

License Number: ME91975

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME91975
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
11/17/2004
Address of Record
12902 MAGNOLIA DRIVE
MOFFITT CANCER CENTER
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
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
CARDENAS, JENNIFER Prescribing Physician Assistant Physician Assistant 9114410 2/7/2022
GADOMSKI, AARON Prescribing Physician Assistant Physician Assistant 9114847 10/25/2021
HAUK, MICHAEL AARON Prescribing Physician Assistant Physician Assistant 9104635 7/1/2021
HOLLERS, ERIK Prescribing Physician Assistant Physician Assistant 9111681 7/1/2021
LOPEZ, BLANCA OMARILYS Prescribing Physician Assistant Physician Assistant 9109141 7/1/2021
MARIN, JESSICA Prescribing Physician Assistant Physician Assistant 9109366 7/1/2021
MARKEY, MEREDITH Prescribing Physician Assistant Physician Assistant 9108527 7/1/2021
PADILLA, MAYA Prescribing Physician Assistant Physician Assistant 9112705 7/1/2021

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 12/23/2024



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** 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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