License Verification

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MICHAEL DOUGLAS BRUNO

License Number: PA9115793

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9115793
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/16/2022
Address of Record
1700 S Tamiami Trail
SARASOTA, FL 34239
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2200 Tamiami Trail
PORT CHARLOTTE, FL 33948
Address
5616 Tuscola Blvd
NORTH PORT, FL 34287
Name Relationship Profession License Effective Date
MEREDITH, KENNETH LEE Supervising Prescribing Practitioner Medical Doctor 102313 06/24/2024
SALMON, SOPHIA SIMONA Supervising Prescribing Practitioner Medical Doctor 85896 03/13/2024
TUFANO, RALPH P Supervising Prescribing Practitioner Medical Doctor 150290 06/24/2024

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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.