License Verification

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KEVIN RICHARD BEACH

License Number: ME107000

Data As Of 5/19/2024

Profession
Medical Doctor
License
ME107000
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/26/2010
Address of Record
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
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
ALDEEN, AMER Z Supervisor Medical Doctor 134734 03/01/2020
CHRISTEN, AUSTEN MICHAEL Supervisor Medical Doctor 136668 03/01/2020
COOLMAN, BRETT LOEWER Supervisor Medical Doctor 115411 03/01/2020
CUEVAS, DANIEL LIM Supervisor Medical Doctor 129675 03/01/2020
GASCA, ANDREW WILLIAM WINFIELD Supervisor Osteopathic Physician 14573 03/01/2020
GELDART, DONALD BLAIR Supervisor Medical Doctor 27412 04/01/2020
LALLY, ARLEEN ANN Supervisor Osteopathic Physician 8845 03/01/2020
LOYD, ANNA MAE Supervisor Osteopathic Physician 12492 03/01/2020
MIAH, BAHAR Supervisor Medical Doctor 108183 03/25/2020
PARTYKA, BRONISLAW J Supervisor Medical Doctor 114822 03/01/2020
PAYOR, AUSTIN DANIEL Supervisor Osteopathic Physician 10925 03/01/2020
SANTILLANA, CESAR ABRAHAM Supervising Prescribing Practitioner Medical Doctor 153137 10/05/2022
WILLIAMS, ARTHUR LEE II Supervisor Medical Doctor 107960 03/25/2020

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Name Relationship Profession License Effective Date
BRUNO, MARCUS Prescribing Physician Assistant Physician Assistant 9110320 10/4/2017
COBB WEYAND, ALYSSA CLAIRE Prescribing Physician Assistant Physician Assistant 9109483 2/16/2018
HANSON, JULIE KIET Prescribing Physician Assistant Physician Assistant 9105034 9/15/2017
HOARD, MICHAEL RYAN Prescribing Physician Assistant Physician Assistant 9112164 12/5/2019
LEVINE, REBECCA NICOLE Prescribing Physician Assistant Physician Assistant 9112012 11/8/2019
LYNCH, KATIE Prescribing Physician Assistant Physician Assistant 9110528 10/2/2017
MARTIN, SAMANTHA LEIGH Prescribing Physician Assistant Physician Assistant 9113333 9/8/2020
MOORE, ERIN RACHEL Prescribing Physician Assistant Physician Assistant 9111310 12/6/2018
PUTNAM, MALLORY MOODY Prescribing Physician Assistant Physician Assistant 9106745 1/8/2016
THOMAS, JAMIE LEIGH Prescribing Physician Assistant Physician Assistant 9111031 12/10/2018
WALLACE, STEVEN GREGORY JR Prescribing Physician Assistant Physician Assistant 9107761 9/19/2017
WILSON, KRISTOPHER DILLON Prescribing Physician Assistant Physician Assistant 9112568 9/8/2020
ZILBERBERG, KACEY SABRA Prescribing Physician Assistant Physician Assistant 9110491 10/4/2017

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



* 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.