License Verification

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MARISA LIANA HANEY

License Number: ME106073

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME106073
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
12/23/2009
Address of Record
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33804
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BARBERA, ANDREW ROBERT Supervising Prescribing Practitioner Medical Doctor 144387 10/01/2020
BARBERA, ANDREW ROBERT Supervisor Medical Doctor 144387 10/22/2020

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Name Relationship Profession License Effective Date
BARNES, MICHAEL WILLIAM Prescribing Physician Assistant Physician Assistant 9102604 8/1/2023
BRUNO, MARCUS Prescribing Physician Assistant Physician Assistant 9110320 10/4/2017
COBB WEYAND, ALYSSA CLAIRE Prescribing Physician Assistant Physician Assistant 9109483 2/16/2018
GAREL, JOHAN ISAIAH Prescribing Physician Assistant Physician Assistant 9106448 10/23/2024
HAMIL, JUSTIN Prescribing Physician Assistant Physician Assistant 9115544 10/21/2024
HANSON, JULIE KIET Prescribing Physician Assistant Physician Assistant 9105034 9/15/2017
HOARD, MICHAEL RYAN Prescribing Physician Assistant Physician Assistant 9112164 12/5/2019
LEVINE, REBECCA NICOLE Prescribing Physician Assistant Physician Assistant 9112012 9/1/2019
LYNCH, KATIE Prescribing Physician Assistant Physician Assistant 9110528 10/2/2017
MARTIN, SAMANTHA LEIGH Prescribing Physician Assistant Physician Assistant 9113333 9/20/2020
MCNALLY, MELISSA LEE Prescribing Physician Assistant Physician Assistant 9102840 8/1/2023
MOORE, ERIN RACHEL Prescribing Physician Assistant Physician Assistant 9111310 12/6/2018
NUNEZ-CUBILLAS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101680 10/23/2023
PUTNAM, MALLORY MOODY Prescribing Physician Assistant Physician Assistant 9106745 1/8/2016
SCOTT, RANDALL EUGENE Prescribing Physician Assistant Physician Assistant 9103913 8/1/2023
SKIDMORE, JUSTIN STUART Prescribing Physician Assistant Physician Assistant 9110082 8/1/2023
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 9/20/2020
ZILBERBERG, KACEY SABRA Prescribing Physician Assistant Physician Assistant 9110491 10/4/2017

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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.