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KEVIN PATRICK BOLAND

License Number: OS12732

Data As Of 5/19/2024

Profession
Osteopathic Physician
License
OS12732
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
05/16/2014
Address of Record
12802 Tampa Oaks Blvd
TAMPA, FL 33637
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
D'AMBROSIO, ASHLEY JANE Supervising Prescribing Practitioner Medical Doctor 150911 01/10/2023
DAMIANO, THOMAS R Supervising Prescribing Practitioner Medical Doctor 147160 01/10/2023
DAWKINS, DONALD Supervising Prescribing Practitioner Osteopathic Physician 10160 01/10/2023
DELK, GERALD TYREE Supervising Prescribing Practitioner Medical Doctor 153552 01/10/2023
DEWAN, VAIL LEE MD Supervising Prescribing Practitioner Medical Doctor 93083 01/10/2023
DIXON, MARK DALE MD Supervising Prescribing Practitioner Medical Doctor 63074 01/10/2023
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 01/10/2023
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 01/10/2023
FOPPE, MARK ANDREW DO Supervisor Osteopathic Physician 8701 09/01/2020
HOLLAND, REUBEN WRIGHT III Supervisor Medical Doctor 55507 08/20/2020
NANAVATI, POOJA Supervising Prescribing Practitioner Medical Doctor 131540 01/09/2023
NAPPI, ALEX Supervising Prescribing Practitioner Medical Doctor 125466 01/09/2023
NEWMAN, ALISA JANELL Supervising Prescribing Practitioner Medical Doctor 146748 01/09/2023
ORTOLANI, MARK TIMOTHY Supervising Prescribing Practitioner Medical Doctor 156092 01/09/2023
PACHECO, AMANDA Supervising Prescribing Practitioner Osteopathic Physician 18694 01/09/2023
PALIGA, ANDREW Supervising Prescribing Practitioner Medical Doctor 111562 01/09/2023
PARKS, SHAINA Supervising Prescribing Practitioner Osteopathic Physician 16980 01/09/2023
PARTYKA, BRONISLAW J Supervising Prescribing Practitioner Medical Doctor 114822 01/09/2023
PATCH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 132395 01/09/2023
PEPE, JOSEPH JR Supervising Prescribing Practitioner Osteopathic Physician 16193 01/09/2023
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 01/09/2023
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 01/09/2023
PIGMAN, EDWIN CARY MD Supervising Prescribing Practitioner Medical Doctor 66985 01/09/2023
PORTO, ADRIANA Supervising Prescribing Practitioner Medical Doctor 143122 01/09/2023
POUND, AMY MARIE Supervising Prescribing Practitioner Medical Doctor 148582 01/09/2023
PRATOR, PAUL CARL M D Supervising Prescribing Practitioner Medical Doctor 92865 01/09/2023
PURCELL, JENNIFER Supervising Prescribing Practitioner Osteopathic Physician 18765 01/09/2023
RADFORD, SHAWN Supervising Prescribing Practitioner Medical Doctor 143947 01/09/2023
RAGBEER, DAVID Supervising Prescribing Practitioner Osteopathic Physician 17806 01/09/2023
REYNOLDS, KYLE Supervising Prescribing Practitioner Osteopathic Physician 18684 01/09/2023
RICHARDS, PAUL JOSEPH Supervising Prescribing Practitioner Medical Doctor 123018 01/09/2023

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

Name Relationship Profession License Effective Date
ABBOTT, SHERYL LYNN Prescribing Physician Assistant Physician Assistant 9116106 2/1/2023
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/2/2017
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 6/28/2017
BLACKMAN, ABIGAIL SHNITER Prescribing Physician Assistant Medical Doctor 127220 1/10/2023
BOLTON, ASHLEY MARIE Prescribing Physician Assistant Physician Assistant 9108069 3/21/2023
BOWMAN, RYAN SCOTT Prescribing Physician Assistant Physician Assistant 9117823 9/12/2023
CLINE, JESSICA MARIE LYNN Prescribing Physician Assistant Physician Assistant 9116036 10/20/2023
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
CRAMER, GREGORY ROBERT Prescribing Physician Assistant Physician Assistant 9116628 1/9/2023
CRAWFORD, PERRY WILLIAM Prescribing Physician Assistant Physician Assistant 9113494 8/11/2023
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/18/2016
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 1/10/2023
DIEHL, NATHAN JEROLD Prescribing Physician Assistant Physician Assistant 9113328 3/21/2023
DOLAN, NICHOLAS ALEXANDER Prescribing Physician Assistant Physician Assistant 9113623 2/16/2023
FELDMAN, TRAVIS SCOTT Prescribing Physician Assistant Physician Assistant 9110309 1/10/2023
FODERA, FRANK ANTHONY Prescribing Physician Assistant Physician Assistant 9117300 5/25/2023
GLEAVES, RACHEL Prescribing Physician Assistant Physician Assistant 9117325 5/19/2023
GOGLIO, ALEC PERRY Prescribing Physician Assistant Physician Assistant 9117740 9/1/2023
HALLOWAY, HILLARY SLOANE Prescribing Physician Assistant Physician Assistant 9102500 12/31/2015
HARDEN, KYLE Prescribing Physician Assistant Physician Assistant 9113509 3/21/2023
HAVERCHAK, ALEXANDRA Prescribing Physician Assistant Physician Assistant 9115748 1/10/2023
HODES, JAMIE LEE Prescribing Physician Assistant Physician Assistant 9109515 11/16/2016
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 1/10/2023
KAZAR, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9117682 9/20/2023
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
LARIMORE, TRAVIS LEE Prescribing Physician Assistant Physician Assistant 9106146 1/10/2023
LIVOTI, REINALDO Prescribing Physician Assistant Physician Assistant 9118153 10/30/2023
MADDALONI, ANGELINA Prescribing Physician Assistant Physician Assistant 9115757 1/31/2023
MAFFEO, HEATHER NICOLE Prescribing Physician Assistant Physician Assistant 9117673 7/28/2023
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/17/2017
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
MONROE, BRADLEY SEAN Prescribing Physician Assistant Physician Assistant 9115248 1/10/2023
MUTZ, DANIEL ADAM Prescribing Physician Assistant Physician Assistant 9117071 2/24/2023
NICHOLS, ALEXANDER CARL Prescribing Physician Assistant Physician Assistant 9117561 7/12/2023
O'SHELL, COLLEEN MARIE Prescribing Physician Assistant Physician Assistant 9109521 8/5/2016
PABST II, DAVID J Prescribing Physician Assistant Physician Assistant 9117468 5/25/2023
PARKS, THOMAS EDWARD Prescribing Physician Assistant Physician Assistant 9105210 1/10/2023
PASHEGOBA, STEVEN LEE Prescribing Physician Assistant Physician Assistant 9101722 1/10/2023
PELLISSIER, OLIVIA MARIE Prescribing Physician Assistant Physician Assistant 9118062 10/19/2023
PRUITT, JAMES ALLEN Prescribing Physician Assistant Medical Doctor 142076 1/10/2023
REEVES, TRAVIS LANCE Prescribing Physician Assistant Physician Assistant 9110296 1/10/2023
RESTREPO, GLISET Prescribing Physician Assistant Physician Assistant 9110146 1/10/2023
RIZZO, MARISSA Prescribing Physician Assistant Physician Assistant 9114944 3/21/2023
SANCHEZ, DANIELA Prescribing Physician Assistant Physician Assistant 9117523 9/11/2023
SCHLEIF, ROBERT DAVID Prescribing Physician Assistant Physician Assistant 9112559 8/26/2022
SCOTT, MATTHEW ALEXANDER Prescribing Physician Assistant Physician Assistant 9106407 1/10/2023
SMITH, ALLISTAIR Prescribing Physician Assistant Physician Assistant 9111535 11/22/2022
SORDAN, MICHAEL ROLF Prescribing Physician Assistant Physician Assistant 9115648 1/10/2023
STINEBECK, JARED C Prescribing Physician Assistant Physician Assistant 9105546 1/10/2023
SUCKOW, WENDY SUE Prescribing Physician Assistant Physician Assistant 9101731 1/10/2023
SUSSMAN, MICHAEL LORNE Prescribing Physician Assistant Physician Assistant 9107280 2/8/2016
WANZER, ASHLEY Prescribing Physician Assistant Physician Assistant 9112753 7/19/2023
YEH, ANDERSON Prescribing Physician Assistant Physician Assistant 9113431 7/14/2023

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 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.