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ALEXEI MIKHAILOVICH PRYTKOV

License Number: ME123293

Data As Of 11/24/2024

Profession
Medical Doctor
License
ME123293
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
03/10/2015
Address of Record
10870 US-1, Ste 104
PONTE VEDRA BEACH, FL 32081
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
LALANI, FARAH NAUSHIR Supervising Prescribing Practitioner Osteopathic Physician 10814 09/23/2021

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Name Relationship Profession License Effective Date
BAGGETT, MATTHEW Prescribing Physician Assistant Physician Assistant 9108973 9/10/2021
BOTE', LUKE MAXWELL Prescribing Physician Assistant Physician Assistant 9117948 1/31/2024
BOYER, MICHAEL ANTHONY Prescribing Physician Assistant Osteopathic Physician 7483 8/25/2021
COWLES, DANA NATHANIEL Subordinate Osteopathic Physician 9752 2/1/2021
CULIQI, GEIRSA Prescribing Physician Assistant Physician Assistant 9116452 2/2/2023
GOINS, PAOLA ANDREA Prescribing Physician Assistant Physician Assistant 9110436 9/10/2021
HAMIL, JUSTIN Prescribing Physician Assistant Physician Assistant 9115544 2/4/2022
HANCOCK, MAE ROSANNE VILLEGAS Prescribing Physician Assistant Physician Assistant 9105391 8/31/2021
HOLT, CHARDE BREANN Prescribing Physician Assistant Physician Assistant 9112643 8/25/2021
KIRKLAND, ANDREW Prescribing Physician Assistant Physician Assistant 9111019 3/27/2018
KIRKLAND, LAUREN MARIE Prescribing Physician Assistant Physician Assistant 9106295 10/6/2021
MCKEON, GLENN R Prescribing Physician Assistant Physician Assistant 1759 1/1/2022
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 4/24/2018
SCOTT, RANDALL EUGENE Prescribing Physician Assistant Physician Assistant 9103913 1/27/2022
STONE, ERICA LYN Prescribing Physician Assistant Physician Assistant 9109992 12/4/2019
WALTERS, SCOTT LOUIS Prescribing Physician Assistant Physician Assistant 9114502 3/1/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/24/2024



* 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.