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SAMUEL JALALI

License Number: ME143719

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME143719
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
01/14/2020
Address of Record
12902 USF Magnolia Drive
TAMPA, FL 33612
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

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Name Relationship Profession License Effective Date
BARNES, MICHAEL WILLIAM Prescribing Physician Assistant Physician Assistant 9102604 11/11/2021
BEDAMI, DEREK ANTHONY Prescribing Physician Assistant Physician Assistant 9116274 11/23/2022
COZZITORTO, LAURA ANN Prescribing Physician Assistant Physician Assistant 9106679 11/23/2022
EATON, KEVIN CHARLES Prescribing Physician Assistant Physician Assistant 9105961 11/11/2021
FRANKLIN, TIMOTHY GARRETT Prescribing Physician Assistant Physician Assistant 9112323 1/27/2022
GRUCHOW, TERRY FRANCIS Prescribing Physician Assistant Physician Assistant 9102408 11/11/2021
JAYSON, AMY NICOLE Prescribing Physician Assistant Physician Assistant 9116199 11/23/2022
KAUFFMAN, AMANDA PAIGE Prescribing Physician Assistant Physician Assistant 9111234 11/11/2021
KETTNER, DAWN THERESE Prescribing Physician Assistant Physician Assistant 9101456 11/11/2021
LAMBY, SARAH LUCILE Prescribing Physician Assistant Physician Assistant 9107634 11/11/2021
LAYMAN, ASHLEY Prescribing Physician Assistant Physician Assistant 9114292 11/23/2022
LEGOAS, DERRICK ANTONIO Prescribing Physician Assistant Physician Assistant 9107024 11/11/2021
MELERO, AMBER Prescribing Physician Assistant Physician Assistant 9114422 11/11/2021
MULLINS, KARINA JASMINE Prescribing Physician Assistant Physician Assistant 9111228 11/11/2021
ROHR, RACHEL Prescribing Physician Assistant Physician Assistant 9114550 11/11/2021
THAKKAR, HARDIK Prescribing Physician Assistant Physician Assistant 9112081 11/11/2021
TSAMBARLIS, MARIA EMMANUELLE Prescribing Physician Assistant Physician Assistant 9110662 11/23/2022

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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.