263 Excluded physicians
83,444 Active physicians
3.15 Per 1,000 physicians
314 Flagged by federal + state

Why These Physicians Were Excluded

Federal exclusion types for physicians in Florida who still have active provider records.

Exclusion type breakdown for Florida
Reason for ExclusionCount
License Revoked/Suspended 1128b488
Program-Related Crime 1128a180
Felony Controlled Substance 1128a459
Felony Healthcare Fraud 1128a324
Patient Abuse/Neglect 1128a27
1128b14 1128b142
Misdemeanor Fraud 1128b11
Fraud/Kickbacks 1128b71
Federal/State Program Exclusion 1128b51

Excluded Physicians Who Moved

After being excluded, some physicians move to a different state. The new state's medical board may not be aware of the federal exclusion.

Moved to Florida

FromCount
South Carolina6
Georgia5
Alabama5
California3
New Jersey2
Oklahoma2
New York2
Kentucky2
Illinois2
North Carolina2

Left Florida

ToCount
New York8
Puerto Rico8
Louisiana7
Georgia5
Michigan5
New Jersey4
Pennsylvania4
Ohio3
Alabama3
Tennessee3

Highest-Priority Cases

Inclusion on this list reflects a federal exclusion record and an active NPI registry entry — it does not confirm the physician is currently seeing patients. NPIs may remain active for billing, research, teaching, or administrative purposes. Full methodology

These physicians have the most concerning combination of serious offense, recent registry activity, and cross-state movement.

Highest-priority excluded physicians in Florida
PhysicianReason for ExclusionExclusion DateSpecialty
BURACK, STEVEN ADAMProgram-Related Crime2024-09-19PAIN MANAGEMENT
GHOSH, MONAProgram-Related Crime2025-11-20GYN/OBS
SALEH, OMAR MProgram-Related Crime2024-03-20INTERNAL MEDICINE
THOMAS, ZINIA SUELicense Revoked/Suspended2026-01-20PSYCHIATRY
THOMPSON, ISAAC KProgram-Related Crime2016-11-20GENERAL PRACTICE
ALEXANDER, LAWRENCEProgram-Related Crime2024-03-20ORTHOPEDICS
ESPINOSA, VICTOR HUGOFelony Controlled Substance2023-01-19PAIN MANAGEMENT
STJEPANOVIC, ZELJKOFelony Controlled Substance2021-04-20FAMILY PRACTICE
ASFORA MD FRCSC PC, WILSON TFraud/Kickbacks2021-04-30NEUROLOGY
HEILBRON, ROY GILBERTFelony Healthcare Fraud2019-10-20CARDIOLOGY

Pharmaceutical Payments to Excluded Physicians

Drug and medical device companies made these payments to excluded physicians in Florida between 2018 and 2024.

PhysicianTotalPaymentsCompanies
PAPPACHEN, STEPHEN$967,13713869
NORTON, ROBERT PATRICK$844,84049259
MORALES, OSMIN$107,088198
SHAKNOVSKY, THOMAS J$48,66116331
LIEBERMAN, DREW EVAN$39,9941059
EDWARDS, JEFFREY BRYANT$19,04427629
CRUZ, JOSE A$14,31460928
FREY, MICHAEL E$12,36010125
GHOSH, MONA$7,71010029
CUGINI, CHRISTY D$6,30339330
If you found your doctor on this page
  1. An active registry record does not confirm they are currently practicing.
  2. Check your state medical board for their current license status.
  3. Report concerns to the OIG Hotline: 1-800-HHS-TIPS.