License Verification

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CANDACE BOULER ANZ

License Number: ME113976

Data As Of 10/5/2024

Profession
Medical Doctor
License
ME113976
License Status
CLEAR/Active
Qualifications
VOLUNTEER
License Expiration Date
1/31/2025
License Original Issue Date
08/15/2012
Address of Record
4435 Gulf Breeze Parkway
GULF BREEZE, FL 32563
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

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Name Relationship Profession License Effective Date
CARLSON, JOHN A Prescribing Physician Assistant Physician Assistant 9112133 10/7/2019
JOHNSON, MICHAEL ANDREW Prescribing Physician Assistant Physician Assistant 9104179 12/5/2016

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/5/2024



* 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.