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ENOEMEM MICHAEL OKPOKPO

License Number: OS17819

Data As Of 6/10/2024

Profession
Osteopathic Physician
License
OS17819
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
05/26/2021
Address of Record
12123 Rustic River Way
TAMPA, FL 33635
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

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

Name Relationship Profession License Effective Date
BULLARD, VANESSA Prescribing Physician Assistant Physician Assistant 9109940 8/18/2022
CANTOR, LUIS Prescribing Physician Assistant Physician Assistant 9113587 5/1/2023
CARTY, ZACHARY Prescribing Physician Assistant Physician Assistant 9115229 9/5/2022
HILL, VICTORIA ANN Prescribing Physician Assistant Physician Assistant 9103468 11/1/2022
HOLLAND, RYLEE PA Prescribing Physician Assistant Physician Assistant 9113645 8/18/2022
MATTHEWS, SARA Prescribing Physician Assistant Physician Assistant 9117855 1/26/2024
MEHTA, KRUNALI Prescribing Physician Assistant Physician Assistant 9117527 5/30/2024
PUTMAN, LESLIE SUE Prescribing Physician Assistant Physician Assistant 3042 1/26/2024
SZETO, LIAN Prescribing Physician Assistant Physician Assistant 9108169 10/1/2022
TIMM, SAMANTHA KATE Prescribing Physician Assistant Physician Assistant 9112812 9/5/2022

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 6/10/2024



* 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.