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MICHAEL ANTHONY HAWKS

License Number: ME104554

Data As Of 11/16/2024

Profession
Medical Doctor
License
ME104554
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
05/19/2009
Address of Record
7975 Lake Underhill Road
Suite 330
ORLANDO, FL 32822
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2325 W. Fairbanks Ave Suite 2
WINTER PARK, FL 32789
Name Relationship Profession License Effective Date
AHMED, ATIF K Supervising Prescribing Practitioner Medical Doctor 149424 05/01/2021
AHMED, ATIF K Supervisor Medical Doctor 149424 05/01/2021
DURFEE, RYAN ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 129229 05/01/2021
DURFEE, RYAN ANTHONY M D Supervisor Medical Doctor 129229 05/01/2021
HAWKS, MICHAEL ANTHONY Supervising Prescribing Practitioner Medical Doctor 104554 05/25/2021
HAWKS, MICHAEL ANTHONY Supervisor Medical Doctor 104554 05/01/2021

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Name Relationship Profession License Effective Date
AHMED, ATIF K Prescribing Physician Assistant Medical Doctor 149424 5/1/2021
AHMED, ATIF K Subordinate Medical Doctor 149424 5/1/2021
ANDERSON, SETH Prescribing Physician Assistant Physician Assistant 9113708 7/11/2023
BERKLAND, ARIANNE MICHELLE Prescribing Physician Assistant Physician Assistant 9109905 5/1/2021
BETCHERMAN, AVI STEVEN Prescribing Physician Assistant Physician Assistant 9109090 5/17/2021
CAMPOS, TASHANYA Prescribing Physician Assistant Physician Assistant 9114037 5/1/2021
CARO, ADAM Prescribing Physician Assistant Physician Assistant 9108334 5/1/2021
DALEY, ANDRE M Prescribing Physician Assistant Physician Assistant 9112006 9/13/2021
DENTON, SLOANE MATHIS Prescribing Physician Assistant Physician Assistant 9108116 4/25/2021
EDMISTON, MICHAEL Prescribing Physician Assistant Physician Assistant 9113231 5/3/2021
HAWKS, MICHAEL ANTHONY Prescribing Physician Assistant Medical Doctor 104554 5/25/2021
HAWKS, MICHAEL ANTHONY Subordinate Medical Doctor 104554 5/1/2021
HOWARD, JEREMIAH S Prescribing Physician Assistant Physician Assistant 9107166 5/1/2021
ILGENFRITZ, KRISTINE ROBERTA Prescribing Physician Assistant Physician Assistant 9100962 9/7/2022
IMHOFF, LUCINDA RENEE Prescribing Physician Assistant Physician Assistant 9106535 5/1/2021
LILES, CHELSEA Prescribing Physician Assistant Physician Assistant 9112179 8/2/2022
LOUTFI, LAURA Prescribing Physician Assistant Physician Assistant 9113977 5/1/2021
MASSARO, JEFFREY Prescribing Physician Assistant Physician Assistant 9113916 5/3/2021
MOGLIA, TIFFANY MARIE Prescribing Physician Assistant Physician Assistant 9114444 6/18/2021
PAPA, DYLAN CHRISTOPHER Prescribing Physician Assistant Physician Assistant 9112199 4/3/2023
PATTANI, SANJAY J Prescribing Physician Assistant Medical Doctor 107131 6/18/2021
PRICE, JEFFREY DAVID Prescribing Physician Assistant Physician Assistant 9114099 12/1/2022
SMITH, MICHAEL Prescribing Physician Assistant Physician Assistant 9110665 5/1/2021
WHEELER, SCOTT A Prescribing Physician Assistant Physician Assistant 9105729 3/28/2022
WILLBUR, TAYLOR MARIE Prescribing Physician Assistant Physician Assistant 9114038 5/25/2021
WILSON, TAYLOR JOSHUA Prescribing Physician Assistant Physician Assistant 9112779 5/1/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/16/2024



* 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.