License Verification

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NIKKI BELL GLENNON

License Number: PA9110503

Data As Of 5/22/2025

Profession
Physician Assistant
License
PA9110503
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/24/2017
Address of Record
512 E Altamonte Dr
Suite:1000
ALTAMONTE SPRINGS, FL 32701
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10959 West Colonial Drive Unit 6 & 8
OVIEDO, FL 32765
Address
5355 Red Bug Lake Rd
WINTER SPRINGS, FL 32708
Address
2323 South Orange Avenue/Ste A
ORLANDO, FL 32806
Address
2555 S Kiman Road
ORLANDO, FL 32811
Address
136 Parliamont Loop Suite 114
LAKE MARY, FL 32746
Address
1414 E Osceola Parkway
KISSIMMEE, FL 34744
Address
7751 Kingspointe Pkwy Ste 114
ORLANDO, FL 32819
Address
3840 East State Rd Suite: 100
APOPKA, FL 32703
Address
512 East Almonte Drive Ste:1000
ALTAMONTE SPRINGS, FL 32701
Address
2415 SW College Road
OCALA, FL 34471
Address
720 SW 2nd Avenue/Suite 160A
GAINESVILLE, FL 32601
Address
115 East Park Drive Suite 300
BRENTWOOD, TN 37027
Address
3581 SW Archer Road/Suite 40 Shands/Solantic JV, LLC dba
GAINESVILLE, FL 32608
Address
1414 E. Osceola Parkway
KISSIMMEE, FL 34744
Address
3581 SW Archer Road Suite 40
GAINESVILLE, FL 32608
Address
3925 NW 43rd St.
GAINESVILLE, FL 32606
Address
512 E. Altamonte Drive
ALTAMONTE SPRINGS, FL 32701
Address
7751 Kingspointe Parkway, Suite 114
ORLANDO, FL 32819
Address
2415 SW College Road
OCALA, FL 34471
Address
3840 E. State Road 436 Suite:1000
APOPKA, FL 32703
Address
136 Parliament Loop, Suite 102
ORLANDO, FL 32811
Address
2323 South Orange Ave, Suite A
ORLANDO, FL 32811
Address
2555 S. Kirkman Road
ORLANDO, FL 32811
Address
5355 Red Bug Lake Rd.
WINTER SPRINGS, FL 32708
Address
720 SW 2nd Ave. Suite 160A
GAINESVILLE, FL 32601
Address
1615 East State Highway 50
CLERMONT, FL 34711
Address
8132 Lee Vista Blvd Unit B
ORLANDO, FL 32829
Address
968 W Mitchell Hammock Rd Ste 1050
OVIEDO, FL 32765
Name Relationship Profession License Effective Date
LAMBIASO, MARLENE K MD Supervising Dispensing Practitioner Medical Doctor 41781 09/22/2020
LAMBIASO, MARLENE K MD Supervising Prescribing Practitioner Medical Doctor 41781 09/28/2020
MIRARCHI, VINCENT JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 12615 07/12/2018

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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 5/23/2025



* 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.