License Verification

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ERIN ANNE WILDT

License Number: PA9107208

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9107208
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/06/2013
Address of Record
12416 66th St N
Ste A
LARGO, FL 33773
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1325 Belcher Rd Ste A
PALM HARBOR, FL 34683
Address
2114 Seven Springs Blvd Ste 250
NEW PORT RICHEY, FL 34655
Name Relationship Profession License Effective Date
ALEXANDER, VLADIMIR ALLAN M D Supervising Prescribing Practitioner Medical Doctor 77329 07/22/2022
ODMARK, THOMAS EDWARD Supervising Prescribing Practitioner Medical Doctor 95245 07/22/2022
PENELLO, DANIEL Supervising Prescribing Practitioner Medical Doctor 107487 07/22/2022
SWARINGEN, JENNIFER CHERISE Supervising Prescribing Practitioner Medical Doctor 101082 07/21/2022
VIZZI, SCOTT Supervising Prescribing Practitioner Medical Doctor 139682 07/21/2022
ZAHRAI, ALI Supervising Prescribing Practitioner Medical Doctor 116733 07/21/2022

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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 12/2/2024



* 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.