License Verification

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HAROLD MICHAEL HIDALGO

License Number: PA9106611

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9106611
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/06/2012
Address of Record
3234 Florida Ave S Suite F
Medi-Weightloss
LAKELAND, FL 33803
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
26236 US Hwy 19 N Medi-Weightloss
CLEARWATER, FL 33761
Name Relationship Profession License Effective Date
PALUMBO, BRIAN THOMAS Supervising Dispensing Practitioner Medical Doctor 115727 03/23/2023
VARKEY, VIGEL MATTHEW M D Supervising Dispensing Practitioner Medical Doctor 96813 08/11/2017
VARKEY, VIGEL MATTHEW M D Supervising Prescribing Practitioner Medical Doctor 96813 07/12/2017

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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.