License Verification
MICHAEL DAVID TALHOUK
License Number: PA9109253
Data As Of 12/2/2024
- Address
- 4211 VanDyke Road
- LUTZ, FL 33558
- Address
- 6901 Simmons Loop
- RIVERVIEW, FL 33578
- Address
- 6901 Simmons Loop St Joseph's Hospital South
- RIVERVIEW, FL 33578
- Address
- 4211 VanDyke Road St Joseph's Hospital North
- LUTZ, FL 33558
- Address
- 3001 W DMLK Blvd St Joseph's Hospital
- TAMPA, FL 33607
- Address
- 300 Pinellas Street MS 36 Morton Plant Hospital
- CLEARWATER, FL 33756
- Address
- 3503 East Frontage Rd
- TAMPA, FL 33607
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
WALDREP, NATHAN KEITH | Supervising Prescribing Practitioner | Medical Doctor | 58834 | 04/29/2020 |
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Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
GONNELLA, DAVID | Prescribing Physician Assistant | Physician Assistant | 9114776 | 11/3/2021 |
Click on the License Number to view License Details for that Practitioner
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.