License Verification

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ELISHA ANNE MONTGOMERY

License Number: ME122062

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME122062
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
10/30/2014
Address of Record
2627 West Eau Gailie Blvd
Suite 101
MELBOURNE, FL 32935
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
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
BRISTER, TRENT SMITH Prescribing Physician Assistant Physician Assistant 3641 9/22/2017
FLYNN, KIMBERLY LOCKWOOD Prescribing Physician Assistant Physician Assistant 9105328 9/26/2017
MATEY, JENNIFER LYNN Prescribing Physician Assistant Physician Assistant 9108982 8/31/2023
VELLODY, DANNA C Prescribing Physician Assistant Physician Assistant 9102439 9/19/2017

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* 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.