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CARLOS TERRELL PITTMAN

License Number: PA9107816

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9107816
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/19/2014
Address of Record
1300 MICCOSUKEE RD.
TALLAHASSEE, FL 32308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
23186 Blue Star Hwy
QUINCY, FL 32351
Address
2626 Capital Medical Blvd
TALLAHASSEE, FL 32308
Address
1260 METROPOLITAN BLVD. EMERGENCY CENTER NORTHEAST
TALLAHASSEE, FL 32312
Address
1300 MICCOSUKEE RD. BIXLER EMERGENCY CENTER
TALLAHASSEE, FL 32308
Name Relationship Profession License Effective Date
ACOSTA, DAYANIS M Supervising Prescribing Practitioner Osteopathic Physician 15879 02/22/2023
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 07/26/2024
AJIT, MALVINDER SINGH Supervising Prescribing Practitioner Medical Doctor 76922 06/02/2022
AKINBOLA, MARISA ANN Supervising Prescribing Practitioner Physician Assistant 9105914 03/30/2022
ALEMAN-BRIZUELA, VLADANA Supervising Prescribing Practitioner Medical Doctor 128937 10/25/2023
ALI, MOHAMED SYAD Supervising Prescribing Practitioner Physician Assistant 9104732 10/01/2023
ANILUS, VESTA Supervising Prescribing Practitioner Medical Doctor 127023 05/14/2022
ARBUCKLE, SEAN SR Supervising Prescribing Practitioner Osteopathic Physician 11132 03/30/2022
ARNOLD, CASEY Supervising Prescribing Practitioner Medical Doctor 135552 02/22/2023
BERMAN, BRIAN L Supervising Prescribing Practitioner Medical Doctor 110013 02/22/2023
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 02/22/2023
BERRY, RANAE SHANNON Supervising Prescribing Practitioner Physician Assistant 9103545 07/22/2022
BOCCIO, RICHARD J Supervising Prescribing Practitioner Medical Doctor 148699 02/22/2023
BOLTON, TONYA AMBER Supervising Prescribing Practitioner Osteopathic Physician 11846 04/11/2022
CALABRO, JAMES A Supervising Prescribing Practitioner Medical Doctor 102305 03/10/2022
CHUMNEY, GARRETT HEATH Supervising Prescribing Practitioner Medical Doctor 104106 08/03/2024
CONKLIN JR, JOSEPH EARL Supervising Prescribing Practitioner Medical Doctor 163761 11/06/2023
CREMIN, STEPHEN MICHAEL Supervising Prescribing Practitioner Medical Doctor 82844 07/22/2022
DEFREITAS, CHRISTOPHER ALIX Supervising Prescribing Practitioner Medical Doctor 139679 02/22/2023
DEL ROSARIO, CAELYN MARI C Supervising Prescribing Practitioner Medical Doctor 148537 02/22/2023
DIAB, DIAB Supervising Prescribing Practitioner Medical Doctor 135904 10/02/2024
EISNOR, DEREK LEE Supervising Prescribing Practitioner Medical Doctor 74231 07/06/2023
GIASI, PAUL CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 115774 10/01/2023
GUILLORY, BLAKE II Supervising Prescribing Practitioner Osteopathic Physician 16396 11/28/2023
GUTIERREZ, RAYMOND ELIAS Supervising Prescribing Practitioner Medical Doctor 130720 09/01/2024
HAIMS, ZIV AHARON D O Supervising Prescribing Practitioner Osteopathic Physician 11086 09/13/2023
HAVYARIMANA, JUVENAL Supervising Prescribing Practitioner Medical Doctor 138597 02/22/2023
HOBLEY, KENLYN JEAN Supervising Prescribing Practitioner Medical Doctor 110123 05/08/2022
HUQ, ZAHIN MUSAWER Supervising Prescribing Practitioner Medical Doctor 155168 07/08/2022
JONES, JONATHAN E Supervising Prescribing Practitioner Medical Doctor 108942 02/12/2024
KEMERER, JOHN JOSEPH D O Supervising Prescribing Practitioner Osteopathic Physician 14998 05/19/2022
KINSEY, DANIELLE MARIA Supervising Prescribing Practitioner Physician Assistant 9103937 10/25/2023
LOOMIS, ANDREW TROY Supervising Prescribing Practitioner Medical Doctor 160133 08/31/2023
LUKACSA, THOMAS DAVID Supervising Prescribing Practitioner Physician Assistant 9104358 02/26/2024
MARIN, JOHNNATAN Supervising Prescribing Practitioner Medical Doctor 156427 07/27/2023
MARKEL, JORDAN BROOKS Supervising Prescribing Practitioner Medical Doctor 152577 11/01/2023
MARTIN, CHRISTOPHER THOMAS Supervising Prescribing Practitioner Medical Doctor 130500 02/22/2023
MILLER, ALAN S Supervising Prescribing Practitioner Medical Doctor 124517 02/22/2023
MILYAVSKY, DANIEL Supervising Prescribing Practitioner Medical Doctor 155177 07/06/2022
MOHAMMADIEH, AHMAD Supervising Prescribing Practitioner Medical Doctor 134693 03/10/2022
NGUYEN, MINH-THU THI Supervising Prescribing Practitioner Medical Doctor 128228 05/29/2024
PICKETT, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 124561 03/30/2022
PUCHI, LUIS ALBERTO Supervising Prescribing Practitioner Medical Doctor 152136 02/22/2023
RAVAL, HITESH Supervising Prescribing Practitioner Osteopathic Physician 13266 02/22/2023
REDFIELD, COLBY SCOTT Supervising Prescribing Practitioner Medical Doctor 126222 05/15/2023
ROZWADOWSKI, THOMAS JOSEPH MD Supervising Prescribing Practitioner Medical Doctor 100274 02/22/2023
SANTANA, JOSE ANTONIO Supervising Prescribing Practitioner Medical Doctor 95767 02/22/2023
SCHREIBER, MICHAEL L Supervising Prescribing Practitioner Osteopathic Physician 11106 01/31/2024
SKINNER, CHASTITY FOWLER Supervising Prescribing Practitioner Osteopathic Physician 13923 02/22/2023
SONNTAG, JOSEPH GERARD Supervising Prescribing Practitioner Osteopathic Physician 20350 01/24/2024
SPURLOCK, RICHARD GLENN Supervising Prescribing Practitioner Medical Doctor 154944 06/05/2022
STANTON, ZACHARY Supervising Prescribing Practitioner Osteopathic Physician 18142 07/14/2022
SUJAKUMAR, RAVISHANKER VILLAFLOR Supervising Prescribing Practitioner Osteopathic Physician 14228 07/25/2023
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 02/22/2023
TIDWELL, CHRISTOPHER WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16301 02/22/2023
TRZASKOMA, MEGAN Supervising Prescribing Practitioner Osteopathic Physician 16206 05/04/2022
VELASQUEZ, JOHN THOMAS Supervising Prescribing Practitioner Medical Doctor 127402 03/30/2022
WALKER, TIMOTHY WOODFIN Supervising Prescribing Practitioner Medical Doctor 51072 06/22/2022
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 06/08/2022
WHITE, MOLLY ADDISON Supervising Prescribing Practitioner Medical Doctor 87911 07/02/2022
WIEGERS, EDWARD III Supervising Prescribing Practitioner Osteopathic Physician 14844 02/22/2023
YASAVOLIAN, MATTHEW Supervising Prescribing Practitioner Medical Doctor 137626 02/22/2023
ZARRAGA, JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 17937 02/22/2023
ZERVOS, AARON-NICKOLAOS Supervising Prescribing Practitioner Osteopathic Physician 18055 01/04/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



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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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