License Verification

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GEORGIOS HATZOUDIS

License Number: ME144433

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME144433
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
03/02/2020
Address of Record
10080 SW Innovation Way
Suit 201
PORT SAINT LUCIE, FL 34987
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
LANDRY, MILES Supervising Prescribing Practitioner Medical Doctor 146002 03/02/2023

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Name Relationship Profession License Effective Date
BIEN, JEFFREY DANIEL Prescribing Physician Assistant Physician Assistant 9106397 12/1/2021
DICARLO, MARK KENNETH Prescribing Physician Assistant Physician Assistant 3676 12/1/2021
GATES, SYLVIA MARIE Prescribing Physician Assistant Physician Assistant 9105460 9/12/2023
LOPES, GUSTAVO AUGUSTO Prescribing Physician Assistant Osteopathic Physician 10182 9/12/2023
MILLER, ALLYSON Prescribing Physician Assistant Physician Assistant 9112820 9/12/2023
ROYALL, CHRISTOPHER ANDREW Prescribing Physician Assistant Physician Assistant 9110149 12/1/2021
WASDIN, JUSTIN DAVID Prescribing Physician Assistant Physician Assistant 9110163 9/12/2023

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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.