License Verification

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GLENN A. KWIAT MD

License Number: ME100907

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME100907
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/30/2008
Address of Record
3301 W. Gandy Blvd
TAMPA, FL 33611
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13531 State Road 54
ODESSA, FL 33556
Address
4949 4th Street North
SAINT PETERSBURG, FL 33703
Address
6182 N US Highway 41
APOLLO BEACH, FL 33572
Address
40545 US Highway 19 N Unit A
TARPON SPRINGS, FL 34689
Address
5464 Lithia Pinecrest Drive
LITHIA, FL 33547
Address
564 Channelside Drive
TAMPA, FL 33602
Address
16521 US Highway 301S
SUN CITY CENTER, FL 33573
Address
799 W. Lumsden Road
BRANDON, FL 33511
Address
3251 66th Street North
SAINT PETERSBURG, FL 33710
Address
7601 Seminole Boulevard
SEMINOLE, FL 33772
Address
303 W. Palm Avenue
TAMPA, FL 33602
Address
11406 US Highway 301 S
RIVERVIEW, FL 33578
Address
4505 Gunn Highway
TAMPA, FL 33624
Address
11969 Sheldon Road
TAMPA, FL 33626
Address
5504 Gateway Blvd
WESLEY CHAPEL, FL 33544
Address
2810 West Martin Luther King Jr Boulevard
TAMPA, FL 33607
Address
13856 North Dale Mabry Highway
TAMPA, FL 33618
Address
22945 State Road 54
LUTZ, FL 33549
Address
19027 Wingshooter Way
LUTZ, FL 33558
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ANIELLO, KORINA Prescribing Physician Assistant Physician Assistant 9111950 11/26/2019
DODSON, KATE ELIZABETH Dispensing Physician Assistant Physician Assistant 9112338 5/17/2021
DODSON, KATE ELIZABETH Prescribing Physician Assistant Physician Assistant 9112338 11/23/2020
LONSWAY, DANIELLE TELHIARD Dispensing Physician Assistant Physician Assistant 9112572 5/17/2021

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



* 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.