License Verification

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VINCENT CIRO ZUMMO

License Number: PA9106504

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9106504
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/04/2012
Address of Record
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
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
AZIZ, KEITH TARIQ Supervising Prescribing Practitioner Medical Doctor 152027 01/24/2023
COWART, JENNIFER BROOKE MD Supervising Prescribing Practitioner Medical Doctor 126831 05/11/2021
COWDELL, JED COLT Supervising Prescribing Practitioner Medical Doctor 125749 05/13/2021
CROWE, MATTHEW MURRAY Supervising Prescribing Practitioner Medical Doctor 130937 01/18/2023
HAUPT, EDWARD THOMAS Supervising Prescribing Practitioner Medical Doctor 150089 01/18/2023
HERRIGEL, DANA JOY Supervising Prescribing Practitioner Medical Doctor 128085 05/11/2021
HUSSAIN, MOHAMMAD TAHIR Supervising Prescribing Practitioner Medical Doctor 137887 05/13/2021
JOYCE, NICOLE ELIZABETH Supervising Prescribing Practitioner Medical Doctor 128255 05/08/2021
LEDFORD, CAMERON K Supervising Prescribing Practitioner Medical Doctor 141540 01/18/2023
MONTERO, DANIEL PATRICK Supervising Prescribing Practitioner Medical Doctor 97775 01/18/2023
MURRAY, PETER MARSHALL Supervising Prescribing Practitioner Medical Doctor 81143 01/23/2023
ORTIGUERA, CEDRIC JOSEPH Supervising Prescribing Practitioner Medical Doctor 80049 01/19/2023
SCHOCH, BRADLEY STEELE Supervising Prescribing Practitioner Medical Doctor 126408 01/18/2023
SHAPIRO, SHANE ADAM Supervising Prescribing Practitioner Medical Doctor 85733 01/23/2023
SHERMAN, COURTNEY ERIN Supervising Prescribing Practitioner Medical Doctor 113325 01/19/2023
SHI, GLENN GUANGYU Supervising Prescribing Practitioner Medical Doctor 123448 01/18/2023
SPENCER-GARDNER, LUKE Supervising Prescribing Practitioner Medical Doctor 142376 01/19/2023
WILKE, BENJAMIN KURT Supervising Prescribing Practitioner Medical Doctor 128224 01/24/2023

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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 12/23/2024



* 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.