License Verification

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NEIL EDWARD COLLOM

License Number: PA9111249

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9111249
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/26/2018
Address of Record
1 Tampa General Circle
Tampa General Hospital
TAMPA, FL 33606
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
3301 W Gandy Blvd
TAMPA, FL 33611
Address
5504 Gateway Blvd
TAMPA, FL 33626
Address
11969 Sheldon Road
WESTCHASE, FL 33626
Address
4505 Gunn Highway
TAMPA, FL 33624
Address
11406 US HWY 301 S
RIVERVIEW, FL 33578
Address
303 W Palm Ave
TAMPA, FL 33602
Address
7601 Seminole Blvd
SEMINOLE, FL 33772
Address
3251 66th st north
SAINT PETERSBURG, FL 33710
Address
799 W Lumsden Rd
BRANDON, FL 33511
Address
16521 US HWY 301 S
RUSKIN, FL 33573
Address
10740 Palm River Road TGH brandon Healthplex Suite 200
TAMPA, FL 33619
Address
6 Tampa General Circle Tampa TGH Infusion Center
TAMPA, FL 33606
Address
3001 WEST DR. MLK JR BLVD ST JOSEPH'S HOSPITAL
TAMPA, FL 33607
Address
4211 VANDYKE RD ST JOSEPH'S HOSPITAL NORTH
LUTZ, FL 33558
Address
6901 SIMMONS LOOP ST. JOSEPH'S HOSPITAL SOUTH
RIVERVIEW, FL 33578
Name Relationship Profession License Effective Date
NANDA, PAUL KALRA Supervising Prescribing Practitioner Medical Doctor 117861 01/09/2020
WEIN, DAVID ABRAHAM Supervising Prescribing Practitioner Medical Doctor 99292 10/17/2023

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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 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.