License Verification

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HAYLEY GANT PATRIDGE

License Number: PA9109035

Data As Of 11/23/2024

Profession
Physician Assistant
License
PA9109035
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/21/2015
Address of Record
14540 Old St Augustine Rd
Suite 2593
JACKSONVILLE, FL 32258
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
BEGOLLI, BLERINA Supervising Prescribing Practitioner Medical Doctor 126480 09/18/2017
BLOCK, ERNEST FRANCIS Supervising Prescribing Practitioner Medical Doctor 60765 03/08/2018
CHORENS, ALBERT LOUIS Supervising Prescribing Practitioner Medical Doctor 120028 03/08/2018
FERBER, LAURENCE ROSS MD Supervising Prescribing Practitioner Medical Doctor 85110 03/08/2018
SAMOTOWKA, MICHAEL ALEXANDER Supervising Prescribing Practitioner Medical Doctor 133082 03/08/2018
SWANIKER, FRESCA MD Supervising Prescribing Practitioner Medical Doctor 127122 03/08/2018

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/23/2024



* 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.