STACEY AZZOLINO
License Number: PA9115496
Data As Of 6/30/2024
Profession | Physician Assistant |
---|---|
License | PA9115496 |
License Status | CLEAR/Active |
Qualifications | Prescribing |
License Expiration Date | 1/31/2026 |
License Original Issue Date | 01/13/2022 |
Address of Record | 11375 CORTEZ BLVD |
BROOKSVILLE, FL 34613 | |
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes |
Discipline on File | No |
Public Complaint | No |
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