License Verification

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AMANDA ROSARIA MINNOCCI

License Number: PA9105438

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9105438
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/13/2010
Address of Record
6401 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE, FL 33308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
200 N.W. 7TH AVENUE URGENT CARE
FT LAUDERDALE, FL 33311
Address
201 E Sample Rd Broward Health North
DEERFIELD BEACH, FL 33064
Address
3000 Coral Hills Dr Broward Health Coral Springs
CORAL SPRINGS, FL 33065
Address
6401 N Federal hwy Broward Health Imperial Point
FT LAUDERDALE, FL 33308
Name Relationship Profession License Effective Date
NEZOWITZ, GREGG DAVID Supervising Prescribing Practitioner Medical Doctor 75671 07/30/2021

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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.