License Verification

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SIMONA ZENATA SIPOS

License Number: PA9112934

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9112934
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/15/2020
Address of Record
216 Ponte Vedra Park Drive
PNTE VDRA BCH, FL 32082
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
9905 Ols St. Augustine Road Bldg 200
JACKSONVILLE, FL 32257
Name Relationship Profession License Effective Date
HASHEY, TERRY DALE Supervising Prescribing Practitioner Osteopathic Physician 9368 05/21/2020
WARREN, SCOTT DAVIS Supervising Prescribing Practitioner Medical Doctor 64364 09/16/2022

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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.