License Verification

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KENNETH PHILIP BOTWIN MD

License Number: ME64559

Data As Of 12/4/2024

Profession
Medical Doctor
License
ME64559
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
07/19/1993
Address of Record
4114 4114 Woodlands Parkway
SUITE 302
PALM HARBOR, FL 34685
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
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
SPINE CARE ASSOCIATES LLC HCCE Health Care Clinic Establishment Permit 3950 8/17/2010
SPINECARE ASSOCIATES, LLC Pain Management Clinic Pain Management Clinic 458 2/9/2010
SPINECARE ASSOCIATES, LLC Pain Management Clinic Pain Management Clinic 1790 2/28/2019
SPINECARE ASSOCIATES, LLC Pain Management Clinic Pain Management Clinic 1852 10/25/2021
SPINECARE ASSOCIATES, LLC Pain Management Clinic Pain Management Clinic 1857 1/26/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/4/2024



* 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.