License Verification

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HEIDI HANSEN ASHBAUGH

License Number: ME114866

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME114866
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
01/04/2013
Address of Record
841 PRUDENTIAL DR
#1400
JACKSONVILLE, FL 32207
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
ABOUDAN, HASSAN MOHAMMAD Supervisor Medical Doctor 144291 12/30/2020
CHADWICK, STEVEN LEBRON Supervisor Osteopathic Physician 16640 12/30/2020
ESTILLORE-CRUZ, ALICIA V Supervisor Medical Doctor 73705 12/30/2020
FERNANDEZ GOYTIZOLO, DENISSE L Supervisor Medical Doctor 137214 12/30/2020
LEIBOWITZ, TODD Supervisor Osteopathic Physician 17020 12/30/2020
MCALISTER, SEAN JAMES MD Supervisor Medical Doctor 143741 12/30/2020
RAMADAN, MOHAMMAD ISMAIL Supervisor Osteopathic Physician 16153 12/30/2020
SHERIDAN, INDRANI ANASTASIA Supervisor Medical Doctor 77738 12/30/2020
SOUCEK, RADIM Supervisor Medical Doctor 128527 12/30/2020

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Name Relationship Profession License Effective Date
NGUYEN, MICHAEL TUAN Prescribing Physician Assistant Physician Assistant 9107834 5/4/2017
SHOULTS, STEPHANIE MARIE Prescribing Physician Assistant Physician Assistant 9111528 9/21/2018
SKERBETZ, RYAN Prescribing Physician Assistant Physician Assistant 9109942 1/15/2019
WILSON, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9107414 12/28/2015

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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



* 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.