License Verification

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OBINNA ADIGWEME

License Number: ME133150

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME133150
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
06/30/2017
Address of Record
2699 Lee Road Ste. 100
WINTER PARK, FL 32789
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
766 N. Sun Dr. Ste. 4000
LAKE MARY, FL 32746
Address
13838 Tilden Road
WINTER GARDEN, FL 34787
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
MEINHARDT, PHILIP AARON Subordinate Medical Doctor 103325 3/8/2021
SIRIGAMPOLA, NILUKSHAN RANIL Dispensing Physician Assistant Physician Assistant 9114956 9/20/2021
SIRIGAMPOLA, NILUKSHAN RANIL Prescribing Physician Assistant Physician Assistant 9114956 9/20/2021
VAN DYKE, TRAVIS BOYD Subordinate Medical Doctor 92680 2/1/2018
WIESE, JON DICK MD Subordinate Medical Doctor 54060 2/8/2018

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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



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** 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.


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