License Verification
JACOB CODY HINSON
License Number: PA9108842
Data As Of 11/21/2024
- Address
- 1670 ST. VINCENT'S WAY ST. VINCENT'S CLAY COUNTY
- MIDDLEBURG, FL 32068
- Address
- 4201 BELFORT ROAD ST VINCENT'S SOUTHSIDE
- JACKSONVILLE, FL 32216
- Address
- 850 E W MAIN ST LAKE BUTLER HOSPITAL
- LAKE BUTLER, FL 32054
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
AIELLO, JAMES JOHN | Supervising Prescribing Practitioner | Medical Doctor | 113843 | 06/24/2019 |
ALEMAN-BERMUDEZ, JAIME J | Supervising Prescribing Practitioner | Medical Doctor | 49940 | 09/19/2018 |
ALENCASTRO PULS, HENRIQUE | Supervising Prescribing Practitioner | Medical Doctor | 166038 | 08/01/2024 |
ALONSO, LEONARDO LAZARO | Supervising Prescribing Practitioner | Osteopathic Physician | 6584 | 09/19/2018 |
AMIN, SHILPA KIRIT | Supervising Prescribing Practitioner | Medical Doctor | 118558 | 09/19/2018 |
ATTLESEY, MARK GRAHAM | Supervising Prescribing Practitioner | Medical Doctor | 71653 | 09/19/2018 |
AUGENSTEIN, W LYNN MD | Supervising Prescribing Practitioner | Medical Doctor | 55214 | 06/24/2019 |
BAKOR, NADIA | Supervising Prescribing Practitioner | Medical Doctor | 131303 | 09/19/2018 |
BERGER, BRADLEY ROSS MD | Supervising Prescribing Practitioner | Medical Doctor | 51471 | 06/24/2019 |
BLAKE, STEVEN MITCHELL M D | Supervising Prescribing Practitioner | Medical Doctor | 58519 | 09/19/2018 |
BRACE, RONALD JOHN | Supervising Prescribing Practitioner | Medical Doctor | 120282 | 09/19/2018 |
BRYANT, LAURIE SUSAN | Supervising Prescribing Practitioner | Osteopathic Physician | 13282 | 06/24/2019 |
CARPENTER, MICHAEL HANSON | Supervising Prescribing Practitioner | Medical Doctor | 147520 | 08/10/2024 |
CHEANVECHAI, DAYCHA | Supervising Prescribing Practitioner | Medical Doctor | 76415 | 09/19/2018 |
CLARE, JONATHAN | Supervising Prescribing Practitioner | Medical Doctor | 145326 | 08/10/2024 |
CLUGSTON, CORY ROBERT | Supervising Prescribing Practitioner | Medical Doctor | 155517 | 08/15/2024 |
COCCA, RYAN ANDREW | Supervising Prescribing Practitioner | Medical Doctor | 163218 | 08/12/2024 |
COLEMAN, GIA | Supervising Prescribing Practitioner | Medical Doctor | 154246 | 08/12/2024 |
DAVIS, DAVID RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 96442 | 09/19/2018 |
DELBIANCO, JOHN DUBOIS | Supervising Prescribing Practitioner | Medical Doctor | 166448 | 08/15/2024 |
DEVOS, ELIZABETH LOUISE | Supervising Prescribing Practitioner | Medical Doctor | 96476 | 08/10/2024 |
DIETRICH, WILLIAM GERARD MD | Supervising Prescribing Practitioner | Medical Doctor | 55253 | 06/24/2019 |
ERASO, DANIEL | Supervising Prescribing Practitioner | Medical Doctor | 135891 | 08/10/2024 |
ESCOBAR MEDINA, MICHELLE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 153079 | 08/15/2024 |
EUWEMA, MICHAEL SCOTT | Supervising Prescribing Practitioner | Medical Doctor | 91648 | 09/19/2018 |
FARR, JORDAN TAYLOR | Supervising Prescribing Practitioner | Osteopathic Physician | 15015 | 09/19/2018 |
FINKLEA, TERI LYNN | Supervising Prescribing Practitioner | Medical Doctor | 115273 | 06/24/2019 |
FRALEY, PAUL RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 134133 | 08/12/2024 |
FREDERICKSEN, KIM ANN | Supervising Prescribing Practitioner | Medical Doctor | 126793 | 08/12/2024 |
GAGE, CHRISTINE NICOLE | Supervising Prescribing Practitioner | Osteopathic Physician | 18019 | 08/15/2024 |
GHALI, SAMA | Supervising Prescribing Practitioner | Medical Doctor | 147065 | 08/12/2024 |
GOODFRIEND, STEVEN DAVID | Supervising Prescribing Practitioner | Medical Doctor | 84608 | 09/19/2018 |
GYARMATHY, RAYMOND HOWARD | Supervising Prescribing Practitioner | Medical Doctor | 53513 | 09/19/2018 |
HAROLD, KELVIN JAMES | Supervising Prescribing Practitioner | Medical Doctor | 122392 | 06/24/2019 |
HESTER, ZACHARY | Supervising Prescribing Practitioner | Medical Doctor | 141445 | 08/12/2024 |
HOIDA, JEFFREY SCOTT MD | Supervising Prescribing Practitioner | Medical Doctor | 136257 | 06/24/2019 |
HOIDA, SHIELDS DUSS | Supervising Prescribing Practitioner | Medical Doctor | 125526 | 04/17/2019 |
HUMPHRIES, JERRY FRANKLIN JR | Supervising Prescribing Practitioner | Medical Doctor | 112733 | 09/19/2018 |
JARAMILLO, DAVID HERNANDO | Supervising Prescribing Practitioner | Medical Doctor | 96063 | 07/25/2019 |
JENKINS, FREDERICK LUCAS | Supervising Prescribing Practitioner | Medical Doctor | 83245 | 09/19/2018 |
JOHNSON, JENNIFER BURKE | Supervising Prescribing Practitioner | Medical Doctor | 115159 | 09/19/2018 |
JOHNSTONE, CHRISTINE LYN | Supervising Prescribing Practitioner | Medical Doctor | 97925 | 06/24/2019 |
KHADPE, JAY | Supervising Prescribing Practitioner | Medical Doctor | 126242 | 08/12/2024 |
KING, KENNETH | Supervising Prescribing Practitioner | Osteopathic Physician | 8648 | 09/19/2018 |
KINMAN, ISAAC MITCHELL | Supervising Prescribing Practitioner | Osteopathic Physician | 15575 | 06/24/2019 |
KOURY, RONALD FORREST D O | Supervising Prescribing Practitioner | Osteopathic Physician | 8090 | 09/19/2018 |
LAMOND, RYAN DANIEL | Supervising Prescribing Practitioner | Medical Doctor | 106090 | 09/19/2018 |
LUCEY, PAUL D MD | Supervising Prescribing Practitioner | Medical Doctor | 50050 | 06/24/2019 |
MANNIX, ALEXANDRA LEIGH | Supervising Prescribing Practitioner | Medical Doctor | 135601 | 08/12/2024 |
MANTHA, KALYAN C | Supervising Prescribing Practitioner | Medical Doctor | 122523 | 06/24/2019 |
MARTZ, BLAKE AUTRY | Supervising Prescribing Practitioner | Osteopathic Physician | 19896 | 08/15/2024 |
MATHAI, ALEX | Supervising Prescribing Practitioner | Medical Doctor | 122229 | 09/19/2018 |
MCBRIDE JOHNSON, ERIN RUTH | Supervising Prescribing Practitioner | Medical Doctor | 110283 | 06/24/2019 |
MENZE, ROGER MICHEEL | Supervising Prescribing Practitioner | Medical Doctor | 68199 | 09/19/2018 |
MOIR, PAUL A | Supervising Prescribing Practitioner | Medical Doctor | 76950 | 06/24/2019 |
MYHRER, ERIK | Supervising Prescribing Practitioner | Medical Doctor | 96634 | 06/24/2019 |
NIPPERT, JUSTIN ALAN | Supervising Prescribing Practitioner | Osteopathic Physician | 17348 | 08/15/2024 |
OH, JOHN | Supervising Prescribing Practitioner | Medical Doctor | 161597 | 08/15/2024 |
OLIVER, RADAMES ALBERTO | Supervising Prescribing Practitioner | Medical Doctor | 67906 | 09/19/2018 |
PANAITESCU, VLAD | Supervising Prescribing Practitioner | Osteopathic Physician | 17560 | 08/20/2024 |
PANDEY, AMAN | Supervising Prescribing Practitioner | Medical Doctor | 156224 | 08/12/2024 |
PETERSEN, COURTNEY | Supervising Prescribing Practitioner | Medical Doctor | 162748 | 08/12/2024 |
PETERSON, MICHAEL DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 13490 | 06/24/2019 |
PULS, ASHLEY ERIN | Supervising Prescribing Practitioner | Medical Doctor | 167999 | 08/01/2024 |
QUADER, MOHAMMED AZIZUL | Supervising Prescribing Practitioner | Medical Doctor | 91402 | 09/19/2018 |
RASHID, SHAHNAZ | Supervising Prescribing Practitioner | Medical Doctor | 147435 | 08/12/2024 |
REZNICSEK, DANIELLE RENEE MD | Supervising Prescribing Practitioner | Medical Doctor | 85463 | 06/24/2019 |
RONEY, NATHAN | Supervising Prescribing Practitioner | Medical Doctor | 159192 | 08/12/2024 |
SAPOLSKY, JEFFREY HOWARD MD | Supervising Prescribing Practitioner | Medical Doctor | 68324 | 06/24/2019 |
SCHARE, ANDREW IRA | Supervising Prescribing Practitioner | Medical Doctor | 80137 | 06/24/2019 |
SCHMIDT, ANDREW CHRISTOPHER | Supervising Prescribing Practitioner | Osteopathic Physician | 12712 | 08/12/2024 |
SEGARRA-SALCEDO, ANDREA ALEXANDRA | Supervising Prescribing Practitioner | Medical Doctor | 154732 | 08/15/2024 |
SHAH, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 127108 | 06/24/2019 |
SHARP, PHILIP R | Supervising Prescribing Practitioner | Medical Doctor | 22975 | 06/24/2019 |
SLOTT, EDWIN FREDERICK | Supervising Prescribing Practitioner | Medical Doctor | 120515 | 09/19/2018 |
STERKA, DAVID GEORGE JR | Supervising Prescribing Practitioner | Medical Doctor | 125380 | 06/24/2019 |
STERN, NEIL DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 8723 | 09/19/2018 |
STORCH, IAN DAVID | Supervising Prescribing Practitioner | Medical Doctor | 132808 | 08/12/2024 |
SUCHENSKI, MAUREEN | Supervising Prescribing Practitioner | Medical Doctor | 137483 | 08/12/2024 |
SWANSON, TERRELL E JOHN | Supervising Prescribing Practitioner | Medical Doctor | 111251 | 09/19/2018 |
TANA, CHRISTOPHER FRANK | Supervising Prescribing Practitioner | Osteopathic Physician | 10435 | 08/12/2024 |
THOMAS, STEPHANIE A | Supervising Prescribing Practitioner | Osteopathic Physician | 17031 | 08/15/2024 |
TRACY, MICHAEL CHARLES | Supervising Prescribing Practitioner | Medical Doctor | 73346 | 09/19/2018 |
V ZQUEZ-FUSTER, NGEL MANUEL | Supervising Prescribing Practitioner | Medical Doctor | 162918 | 08/15/2024 |
VASUDEVA, SANJAY | Supervising Prescribing Practitioner | Medical Doctor | 113428 | 09/19/2018 |
VIHLEN, ANDREW SCOTT | Supervising Prescribing Practitioner | Medical Doctor | 109676 | 06/24/2019 |
WALLACE, MOIRA PETIRS | Supervising Prescribing Practitioner | Medical Doctor | 133941 | 09/19/2018 |
WARD, JILL ANGELA | Supervising Prescribing Practitioner | Medical Doctor | 110689 | 09/19/2018 |
WARRINGTON, STEVEN | Supervising Prescribing Practitioner | Medical Doctor | 131907 | 09/19/2018 |
WINNINGHAM, DAVID JASON | Supervising Prescribing Practitioner | Osteopathic Physician | 12586 | 09/19/2018 |
WOOD, STEPHANIE KAREN | Supervising Prescribing Practitioner | Medical Doctor | 35012 | 09/19/2018 |
ZAGER, SCOTT LAWRENCE | Supervising Prescribing Practitioner | Medical Doctor | 91062 | 09/19/2018 |
ZEATON, KARIN ELIZABETH | Supervising Prescribing Practitioner | Osteopathic Physician | 10311 | 09/19/2018 |
ZOROVICH, ELIZABETH | Supervising Prescribing Practitioner | Medical Doctor | 153863 | 08/12/2024 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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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.