License Verification

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SAMANTHA EMILY HOLTZMAN

License Number: PA9107613

Data As Of 4/29/2025

Profession
Physician Assistant
License
PA9107613
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/15/2013
Address of Record
4500 San Pablo Road S
Mayo Clinic
Cannaday Building, 3E
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
7826 Ozark Drive Mayo Gate Parkway Primary Care Center
JACKSONVILLE, FL 32256
Address
110 Southwood Lake Drive Mayo St. Augustine Primary Care Center
SAINT AUGUSTINE, FL 32086
Address
742 Marsh Landing Parkway Mayo Beaches Primary Care Center
JACKSONVILLE BEACH, FL 32250
Address
10950-60 San Jose Blvd. #190
JACKSONVILLE, FL 32223
Name Relationship Profession License Effective Date
HOLTZMAN, ROBERT BRUCE Supervising Prescribing Practitioner Medical Doctor 56620 08/01/2023
PRESUTTI, RICHARD JOHN D O Supervising Prescribing Practitioner Osteopathic Physician 6983 02/19/2020

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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 4/29/2025



* 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.


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