License Verification

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BRIAN DAVID ANDERSON

License Number: OS12156

Data As Of 11/21/2024

Profession
Osteopathic Physician
License
OS12156
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
05/08/2013
Address of Record
13500 sutton park dr suite 504
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Yes
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
ANTENUCCI, NICOLE MARIE Prescribing Physician Assistant Physician Assistant 9109691 9/29/2017
BRUNIOUS, BURNELL PAUL Subordinate Medical Doctor 104848 11/1/2018
GALLAHER, SILVINA GABRIELA Prescribing Physician Assistant Physician Assistant 9116825 4/10/2024
KOBY, JEFFREY ALAN Prescribing Physician Assistant Physician Assistant 9104019 12/13/2022
MACINTYRE, HOUSTON WALTER Prescribing Physician Assistant Physician Assistant 9114890 9/20/2021
MARSHALL, BRENT THOMAS Prescribing Physician Assistant Physician Assistant 9109612 11/1/2016
UZELAC, KERSTIN A Prescribing Physician Assistant Physician Assistant 9106845 9/15/2016
WELDY, GREGORY C Prescribing Physician Assistant Physician Assistant 9115858 3/7/2023

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

Name Relationship Profession License Effective Date

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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.


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