License Verification

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GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC GULF-TO-BAY INTEGRATIVE PAIN MEDICINE & REHABILITATION

License Number: PMC1442

Data As Of 5/18/2024

Profession
Pain Management Clinic
License
PMC1442
License Status
CLEAR/
License Expiration Date
License Original Issue Date
04/17/2012
Address of Record
4051 UPPER CREEK DR
STE 102
SUN CITY CENTER, FL 33573
Discipline on File
No
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date
DE LA TORRE, JOSE M PMC Physician Medical Doctor 89848 04/16/2012
GULF-TO-BAY ANESTHESIOLOGY, A Pain Management Clinic Owner Unlicensed Facility Personnel 04/16/2012
NEL, WILLEM JACOBUS Designated Physician Medical Doctor 92249 04/16/2012
PANCHAMIA, SIDHARTH MD PMC Physician Medical Doctor 106682 04/16/2012
STONE, CARISSA HEIM PMC Physician Medical Doctor 83895 04/16/2012

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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 5/18/2024



* 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.