License Verification

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BENJAMIN MICHAEL MAHON

License Number: ME114305

Data As Of 5/19/2024

Profession
Medical Doctor
License
ME114305
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
10/02/2012
Address of Record
200 Avenue F NE, First Floor
WINTER HAVEN, FL 33881
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
BANAPOOR, BENJAMIN Supervising Prescribing Practitioner Medical Doctor 156442 11/01/2022
OTT, PAUL CARL Supervising Prescribing Practitioner Osteopathic Physician 18168 10/25/2021

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Name Relationship Profession License Effective Date
BARNES, MICHAEL WILLIAM Prescribing Physician Assistant Physician Assistant 9102604 8/3/2022
COBB WEYAND, ALYSSA CLAIRE Prescribing Physician Assistant Physician Assistant 9109483 8/2/2022
COWLES, DANA NATHANIEL Subordinate Osteopathic Physician 9752 2/1/2021
INJETY, SHYAM KUMAR RAJENDRA Prescribing Physician Assistant Physician Assistant 9108987 8/2/2022
LUDWIG, RICHARD EUGENE Prescribing Physician Assistant Physician Assistant 9102456 8/2/2022
MCNALLY, MELISSA LEE Prescribing Physician Assistant Physician Assistant 9102840 8/2/2022
SCOTT, RANDALL EUGENE Prescribing Physician Assistant Physician Assistant 9103913 8/2/2022
SKIDMORE, JUSTIN STUART Prescribing Physician Assistant Physician Assistant 9110082 8/2/2022

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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.