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CHARLES R CHUNG

License Number: ME99441

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME99441
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
07/10/2007
Address of Record
1324 Lakeland Hills Blvd
LAKELAND, FL 33805
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALEXANDER, ANDREW JAY Supervisor Medical Doctor 76090 06/10/2021
BATT, BRIAN PATRICK Supervisor Medical Doctor 115337 06/10/2021
CARABALLO, DAMIAN EDUARDO IV Supervisor Medical Doctor 106340 06/10/2021
CASTELLUCCI, ERIC DEAN Supervisor Medical Doctor 60245 06/10/2021
GALLEGO, JUAN E Supervisor Medical Doctor 98630 06/10/2021
HILD, JOSEPH DANIEL Supervisor Medical Doctor 115272 06/10/2021
HOWELL, MATTHEW DOUGLAS MD Supervisor Medical Doctor 105917 06/10/2021
KAHL, JAKUB Supervisor Medical Doctor 88531 06/10/2021

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
BRUNO, MARCUS Prescribing Physician Assistant Physician Assistant 9110320 10/4/2017
COBB WEYAND, ALYSSA CLAIRE Prescribing Physician Assistant Physician Assistant 9109483 2/16/2018
HOARD, MICHAEL RYAN Prescribing Physician Assistant Physician Assistant 9112164 12/5/2019
LYNCH, KATIE Prescribing Physician Assistant Physician Assistant 9110528 10/2/2017
MARTIN, SAMANTHA LEIGH Prescribing Physician Assistant Physician Assistant 9113333 9/8/2020
MOORE, ERIN RACHEL Prescribing Physician Assistant Physician Assistant 9111310 12/6/2018
PUTNAM, MALLORY MOODY Prescribing Physician Assistant Physician Assistant 9106745 1/8/2016
THOMAS, JAMIE LEIGH Prescribing Physician Assistant Physician Assistant 9111031 12/10/2018
WALLACE, STEVEN GREGORY JR Prescribing Physician Assistant Physician Assistant 9107761 9/19/2017
WILSON, KRISTOPHER DILLON Prescribing Physician Assistant Physician Assistant 9112568 9/8/2020
ZILBERBERG, KACEY SABRA Prescribing Physician Assistant Physician Assistant 9110491 10/4/2017

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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 12/22/2024



* 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.