License Verification

Printer Friendly Version

ADAM TYLER KIMMERLING

License Number: PA9108682

Data As Of 11/23/2024

Profession
Physician Assistant
License
PA9108682
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/27/2015
Address of Record
4535 Dressler Road NW
CANTON, OH 44718
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3100 E. FLETCHER LANE ADVENTHEALTH TAMPA
TAMPA, FL 33368
Address
7171 N. DALE MABRY ADVENTHEALTH CARROLLWOOD
TAMPA, FL 33614
Address
1395 S. PINELLAS AVE. ADVENTHEALTH N. PINELLAS
TARPON SPRINGS, FL 33638
Address
2600 BRUCE B DOWNS BLVD ADVENTHEALTH WESLEY CHAPEL
WESLEY CHAPEL, FL 33544
Address
7050 GALL BLVD. ADVENTHEALTH ZEPHYRHILLS
ZEPHYRHILLS, FL 33541
Address
16625 SR. 54
LAND O LAKES, FL 34638
Address
4211 VAN DYKE ROAD ST. JOSEPH'S HOSPITAL NORTH
LUTZ, FL 33558
Address
3001 W. MLK BLVD. ST. JOSEPHS HOSPITAL
TAMPA, FL 33607
Address
6901 SIMMONS LOOP ST. JOSPEH'S HOSPITAL SOUTH
RIVERVIEW, FL 33578
Address
13100 FORT KING RD ADVENTHEALTH DADE CITY
DADE CITY, FL 33525
Address
34106 US 19N ADVENTHEALTH PALM HARBOR
PALM HARBOR, FL 34684
Address
7050 Gall Blvd ADVENTHEALTH Zephyrhills
ZEPHYRHILLS, FL 33638
Address
1395 S Pinellas Avenue ADVENTHEALTH North Pinellas
TARPON SPRINGS, FL 33638
Address
6901 Simmons Loop
RIVERVIEW, FL 33578
Address
4211 VanDyke Road
LUTZ, FL 33558
Address
3001 West Martin Luther King
TAMPA, FL 33607
Name Relationship Profession License Effective Date
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 12/01/2023
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 09/01/2023
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 11/01/2023
ATLAS, YELENA Supervising Prescribing Practitioner Medical Doctor 149603 12/01/2023
BALLARINI, V JOSEPH JOHN Supervising Prescribing Practitioner Osteopathic Physician 11220 10/01/2023
BARNES, RICHARD R JR Supervising Prescribing Practitioner Medical Doctor 69285 11/01/2023
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 11/01/2023
BISHOP, TRACY MARIE Supervising Prescribing Practitioner Osteopathic Physician 16617 10/15/2023
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 09/25/2023
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 09/25/2023
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 09/25/2023
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 11/01/2023
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 11/01/2023
CARDONA, LINA M Supervising Prescribing Practitioner Medical Doctor 156483 10/15/2023
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 09/25/2023
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/15/2023
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 09/15/2023
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 09/15/2023
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 03/11/2016
DESAI, AJAY Supervising Prescribing Practitioner Osteopathic Physician 12568 03/17/2016
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 09/15/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 11/28/2022
DUBEY, JESSE VINCENT Supervising Prescribing Practitioner Osteopathic Physician 13099 08/09/2016
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 11/01/2023
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 01/19/2023
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 11/01/2023
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 11/01/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 08/09/2016
KOONKITTI, PARICHART CANDY Supervising Prescribing Practitioner Medical Doctor 125284 03/17/2016
LIVOTI, REINALDO Supervising Prescribing Practitioner Physician Assistant 9118153 11/01/2023
LUDWIG, RICHARD EUGENE Supervising Prescribing Practitioner Physician Assistant 9102456 11/01/2023
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 12/01/2023
NESSELROADE, RYAN DAVID Supervising Prescribing Practitioner Medical Doctor 106189 03/17/2016
OSBORNE, AARON RYAN Supervising Prescribing Practitioner Medical Doctor 108215 03/11/2016
PARKS, THOMAS EDWARD Supervising Prescribing Practitioner Physician Assistant 9105210 08/26/2022
PATEL, TEJAS Supervising Prescribing Practitioner Osteopathic Physician 13790 08/09/2016
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/23/2022
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 03/17/2016
ROCKLER, KENDALL MICHELLE Supervising Prescribing Practitioner Medical Doctor 114880 12/01/2023
SCHWARTZ, MATTHEW ABRAM Supervising Prescribing Practitioner Medical Doctor 135491 01/10/2023
SCOTT, DAVID Supervising Prescribing Practitioner Medical Doctor 143679 01/10/2023
SECREST, JULIE K Supervising Prescribing Practitioner Medical Doctor 110718 03/17/2016
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 01/10/2023
SHAH, SHIRALI Supervising Prescribing Practitioner Medical Doctor 134469 01/10/2023
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 01/10/2023
SMITH, MATTHEW WAYNE Supervising Prescribing Practitioner Osteopathic Physician 16446 01/19/2023
STAFF, KRISTINE E Supervising Prescribing Practitioner Medical Doctor 117924 01/10/2023
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 11/01/2022
THOMAS, SHERWIN ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 149747 01/01/2023
TIMMEL, MARK Supervising Prescribing Practitioner Medical Doctor 151869 01/01/2023
TIRHEIMER, WENZEL III Supervising Prescribing Practitioner Medical Doctor 83294 01/19/2023
UMANSKY, AARON JOSEPH Supervising Prescribing Practitioner Medical Doctor 151420 01/10/2023
VIBHAKAR, ARJUN Supervising Prescribing Practitioner Medical Doctor 128122 08/09/2016

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

Name Relationship Profession License Effective Date
PARKS, THOMAS EDWARD Prescribing Physician Assistant Physician Assistant 9105210 3/15/2022

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

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 11/23/2024



* 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.