License Verification

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MICHAEL VINCENT GREENBERG

License Number: PA9103824

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9103824
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/03/2006
Address of Record
206 2ND ST. EAST
MANATEE MEMORIAL HOSPITAL
BRADENTON, FL 34208
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8330 LAKEWOOD RANCH BLVD. LAKEWOOD RANCH MEDICAL CENTER
BRADENTON, FL 34202
Address
4065 Tamiami Trl, Grappin Clinic
PORT CHARLOTTE, FL 33952
Address
12511 Tamiami Trl S Grappin Clinic
NORTH PORT, FL 34287
Address
347 6th Ave W, Grappin Clinic
BRADENTON, FL 34204
Address
301 N Brevard Ave Grappin Clinic
ARCADIA, FL 34266
Address
13117 Elk Mountain D Grappin Clinic
RIVERVIEW, FL 33568
Address
5506 14th Street West Satellite ER for MMH
BAYSHORE GARDENS, FL 34207
Address
1501 Laurel St, Sarasota, Grappin Clinic
SARASOTA, FL 34236
Name Relationship Profession License Effective Date
BRANSCOMB, NICHOLAS TIMOTHY Supervising Dispensing Practitioner Osteopathic Physician 12337 07/24/2024
HIERHOLZER, DANNY MICHAEL DO Supervising Prescribing Practitioner Osteopathic Physician 11234 06/14/2022

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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.


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