License Verification

Printer Friendly Version

MARK DALE DIXON MD

License Number: ME63074

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME63074
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
10/09/1992
Address of Record
1395 S PINELLAS AVE
TARPON SPRINGS, FL 34689
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
HERSCOVICI, DOLFI JR Supervisor Osteopathic Physician 6189 03/11/2019
MIJIC, DRAGOMIR Supervisor Osteopathic Physician 14483 09/01/2019

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

Name Relationship Profession License Effective Date
ABBOTT, SHERYL LYNN Prescribing Physician Assistant Physician Assistant 9116106 2/1/2023
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/1/2017
BARQUIN, JOSE MIGUEL JR Prescribing Physician Assistant Medical Doctor 131689 6/27/2024
BOLAND, KEVIN PATRICK Prescribing Physician Assistant Osteopathic Physician 12732 1/10/2023
BOLTON, ASHLEY MARIE Prescribing Physician Assistant Physician Assistant 9108069 3/21/2023
BOWMAN, RYAN SCOTT Prescribing Physician Assistant Physician Assistant 9117823 9/12/2023
CLINE, JESSICA MARIE LYNN Prescribing Physician Assistant Physician Assistant 9116036 10/20/2023
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
CRAMER, GREGORY ROBERT Prescribing Physician Assistant Physician Assistant 9116628 1/9/2023
CRAWFORD, PERRY WILLIAM Prescribing Physician Assistant Physician Assistant 9113494 8/11/2023
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/18/2016
DEGROAT, JONATHAN THOMAS Prescribing Physician Assistant Medical Doctor 114356 7/28/2023
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 1/10/2023
DIEHL, NATHAN JEROLD Prescribing Physician Assistant Physician Assistant 9113328 3/21/2023
DOLAN, NICHOLAS ALEXANDER Prescribing Physician Assistant Physician Assistant 9113623 2/16/2023
EVANGELISTI, MINDY Prescribing Physician Assistant Physician Assistant 9118901 7/9/2024
FELDMAN, TRAVIS SCOTT Prescribing Physician Assistant Physician Assistant 9110309 1/10/2023
FODERA, FRANK ANTHONY Prescribing Physician Assistant Physician Assistant 9117300 5/25/2023
FREEMAN, KELLIE CHRISTINE Prescribing Physician Assistant Physician Assistant 9110742 8/1/2024
GLEAVES, RACHEL Prescribing Physician Assistant Physician Assistant 9117325 5/19/2023
GOGLIO, ALEC PERRY Prescribing Physician Assistant Physician Assistant 9117740 9/1/2023
HARDEN, KYLE Prescribing Physician Assistant Physician Assistant 9113509 3/21/2023
HAVERCHAK, ALEXANDRA Prescribing Physician Assistant Physician Assistant 9115748 1/10/2023
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 1/10/2023
KAZAR, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9117682 9/20/2023
KHURRAM, SEHRISH Prescribing Physician Assistant Physician Assistant 9118360 8/1/2024
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
LIVOTI, REINALDO Prescribing Physician Assistant Physician Assistant 9118153 10/30/2023
MAFFEO, HEATHER NICOLE Prescribing Physician Assistant Physician Assistant 9117673 7/28/2023
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/17/2017
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
MONROE, BRADLEY SEAN Prescribing Physician Assistant Physician Assistant 9115248 1/10/2023
NICHOLS, ALEXANDER CARL Prescribing Physician Assistant Physician Assistant 9117561 7/12/2023
NUNEZ-CUBILLAS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101680 1/10/2023
PABST II, DAVID J Prescribing Physician Assistant Physician Assistant 9117468 5/25/2023
PARKS, THOMAS EDWARD Prescribing Physician Assistant Physician Assistant 9105210 1/10/2023
PASHEGOBA, STEVEN LEE Prescribing Physician Assistant Physician Assistant 9101722 1/10/2023
PELLISSIER, OLIVIA MARIE Prescribing Physician Assistant Physician Assistant 9118062 10/19/2023
REEVES, TRAVIS LANCE Prescribing Physician Assistant Physician Assistant 9110296 1/10/2023
RESTREPO, GLISET Prescribing Physician Assistant Physician Assistant 9110146 1/10/2023
RIZZO, MARISSA Prescribing Physician Assistant Physician Assistant 9114944 3/21/2023
SCHLEIF, ROBERT DAVID Prescribing Physician Assistant Physician Assistant 9112559 8/26/2022
SMITH, ALLISTAIR Prescribing Physician Assistant Physician Assistant 9111535 11/22/2022
SORDAN, MICHAEL ROLF Prescribing Physician Assistant Physician Assistant 9115648 1/10/2023
STINEBECK, JARED C Prescribing Physician Assistant Physician Assistant 9105546 1/10/2023
SUCKOW, WENDY SUE Prescribing Physician Assistant Physician Assistant 9101731 1/10/2023
SUSSMAN, MICHAEL LORNE Prescribing Physician Assistant Physician Assistant 9107280 2/8/2016
WANZER, ASHLEY Prescribing Physician Assistant Physician Assistant 9112753 7/19/2023
YEH, ANDERSON Prescribing Physician Assistant Physician Assistant 9113431 7/14/2023

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

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 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.