License Verification

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ESTHER CAROL VILDOR-DAZIL

License Number: ME104379

Data As Of 12/4/2024

Profession
Medical Doctor
License
ME104379
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
05/01/2009
Address of Record
1643 NW 136th Ave Building H
SUITE 100
SUNRISE, FL 33323
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
4905 Park Ridge Boulevard
BOYNTON BEACH, FL 33426
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
GRONDIN, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9104351 3/22/2018
LORELLO, MICHAEL R Prescribing Physician Assistant Physician Assistant 9101788 12/16/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/4/2024



* 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.