License Verification

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MARCEL NWIZU

License Number: OS17671

Data As Of 9/6/2025

Profession
Osteopathic Physician
License
OS17671
License Status
Clear/Active
License Expiration Date
3/31/2026
License Original Issue Date
04/22/2021
Address of Record
12093 Beowulf Way
12093 Beowulf Way
WINTER GARDEN, FL 34787
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
ALCINORD, ROODY M Prescribing Physician Assistant Physician Assistant 9102890 8/18/2025
BRAVERMAN, ELEXIS Prescribing Physician Assistant Physician Assistant 9109789 8/18/2025
BROWN, TAMMY SANCHEZ Prescribing Physician Assistant Physician Assistant 9105111 8/18/2025
BURITICA, MADELEEN Y Prescribing Physician Assistant Physician Assistant 9116543 8/18/2025
CANGE, ALIX ANDRE Prescribing Physician Assistant Physician Assistant 9104367 8/18/2025
CARMONA, DIEGO ENRIQUE Prescribing Physician Assistant Physician Assistant 9106216 8/18/2025
DIAZ BALZAC, ROBERTO J Prescribing Physician Assistant Medical Doctor 127423 8/18/2025
LEE, JAMES ROBERT Prescribing Physician Assistant Medical Doctor 150362 2/18/2025
TAYLOR, MATHEW DALE Prescribing Physician Assistant Physician Assistant 9104772 4/28/2022
THABET, ASHRAF Prescribing Physician Assistant Osteopathic Physician 11277 8/18/2025

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 9/6/2025



* 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.