License Verification

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AJAY DESAI

License Number: OS12568

Data As Of 5/19/2024

Profession
Osteopathic Physician
License
OS12568
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
03/11/2014
Address of Record
1046 Florida Ave S Suite C
LAKELAND, FL 33803
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 12/31/2021

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Name Relationship Profession License Effective Date
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/1/2017
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 6/28/2017
BAILEY, MELISSA CASILLAS Prescribing Physician Assistant Physician Assistant 9107076 3/17/2016
CALLAWAY, KATIE LENORE Prescribing Physician Assistant Physician Assistant 9105550 3/17/2016
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/18/2016
HODES, JAMIE LEE Prescribing Physician Assistant Physician Assistant 9109515 11/16/2016
HOLLIS, GREG DWIGHT Prescribing Physician Assistant Physician Assistant 9106026 3/17/2016
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 3/17/2016
KIMMERLING, ADAM TYLER Prescribing Physician Assistant Physician Assistant 9108682 3/17/2016
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
LANCASTER, CHRISTOPHER ALEXANDER Prescribing Physician Assistant Physician Assistant 9104840 3/16/2016
LARIMORE, TRAVIS LEE Prescribing Physician Assistant Physician Assistant 9106146 3/16/2016
LONGLEY, MICHAEL BRUCE Prescribing Physician Assistant Medical Doctor 94125 3/4/2016
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/17/2017
MCCREIGHT, TRISHA RAE PA-C Prescribing Physician Assistant Physician Assistant 9102440 3/4/2016
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
MONROE, KIMBERLY DAWN Prescribing Physician Assistant Physician Assistant 9107201 3/16/2016
O'SHELL, COLLEEN MARIE Prescribing Physician Assistant Physician Assistant 9109521 8/5/2016
RINI, JACLYN Prescribing Physician Assistant Physician Assistant 9108634 3/16/2016
SCOTT, MATTHEW ALEXANDER Prescribing Physician Assistant Physician Assistant 9106407 3/16/2016
TINGLER, TARA LYNN Prescribing Physician Assistant Physician Assistant 9102755 3/16/2016
WIDNER, LAUREN BROOKE Prescribing Physician Assistant Physician Assistant 9105907 3/16/2016
XAVIER, JONATHAN DAVID Prescribing Physician Assistant Physician Assistant 9107872 3/16/2016

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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.