License Verification
EDIL J AGOSTO DIAZ
License Number: ME102761
Data As Of 11/22/2024
- Address
- 117 N. 5th St. Ste #5
- FORT PIERCE, FL 34950
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
DEVAUX, MIKAELA ELISE | Supervisor | Medical Doctor | 130853 | 05/24/2021 |
HEIST, DORAN ROBERT MD | Supervisor | Medical Doctor | 111822 | 05/24/2021 |
MCGOOHAN, MICHAEL PATRICK DO | Supervisor | Osteopathic Physician | 6325 | 05/24/2021 |
RAMAGE, DARRON TRAVIS | Supervisor | Medical Doctor | 115024 | 05/24/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BIGGS, FREDERICK SCOTT | Prescribing Physician Assistant | Physician Assistant | 9103660 | 11/1/2022 |
BO, KIRSTEN LEIGH | Prescribing Physician Assistant | Physician Assistant | 9104713 | 11/1/2022 |
BOWMAN, KELLEY FRANCES | Prescribing Physician Assistant | Physician Assistant | 9104618 | 11/1/2022 |
CALLAHAN, KYLE JONATHAN | Prescribing Physician Assistant | Physician Assistant | 9109286 | 5/5/2016 |
COLON CRUZ, EDDID DAVID | Prescribing Physician Assistant | Medical Doctor | 120690 | 2/28/2021 |
GILROY, RONALD THOMAS MD | Prescribing Physician Assistant | Medical Doctor | 61905 | 12/1/2022 |
GRAHAM-LEVY, HALCIAN L | Prescribing Physician Assistant | Physician Assistant | 9103552 | 11/1/2022 |
HAGLER, SARA VIRGINIA | Prescribing Physician Assistant | Physician Assistant | 9103008 | 11/1/2022 |
JOCKOVICH, MILAN MD | Subordinate | Medical Doctor | 65559 | 3/5/2021 |
JONES, ZOE | Dispensing Physician Assistant | Physician Assistant | 9117967 | 9/9/2024 |
MADELON, DEBORAH | Prescribing Physician Assistant | Physician Assistant | 9117704 | 2/19/2024 |
MATEY, JENNIFER LYNN | Prescribing Physician Assistant | Physician Assistant | 9108982 | 8/31/2023 |
MEGREGIAN, LINDSEY MARKS | Prescribing Physician Assistant | Physician Assistant | 9106660 | 11/1/2022 |
MICHAELMAN, GWENDOLYN BRUCH | Prescribing Physician Assistant | Physician Assistant | 9104166 | 11/1/2022 |
NIMETH, MARTINA MARIE | Prescribing Physician Assistant | Physician Assistant | 9102555 | 2/28/2021 |
PETERSON, JAYME MICHELLE | Prescribing Physician Assistant | Physician Assistant | 9103306 | 11/1/2022 |
RODRIGUEZ, SUSELY CAROLINA | Prescribing Physician Assistant | Physician Assistant | 9115448 | 10/6/2022 |
SANDER, ANDREW THOMAS | Prescribing Physician Assistant | Physician Assistant | 9104502 | 11/1/2022 |
SCULLY, KYLE | Prescribing Physician Assistant | Physician Assistant | 9111560 | 4/15/2020 |
SPENCER, DANIEL PATRICK | Prescribing Physician Assistant | Physician Assistant | 9115047 | 9/9/2024 |
TURK, ADAM SCOTT | Prescribing Physician Assistant | Physician Assistant | 9106810 | 11/1/2022 |
VAN HEMEL, ELIZABETH ANNE | Prescribing Physician Assistant | Physician Assistant | 3575 | 10/26/2022 |
VEGA, JOSE' M | Prescribing Physician Assistant | Physician Assistant | 2245 | 11/1/2022 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024
* 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.