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SHIELDS DUSS HOIDA

License Number: ME125526

Data As Of 6/23/2024

Profession
Medical Doctor
License
ME125526
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
09/04/2015
Address of Record
4201 Belfort Rd
JACKSONVILLE, FL 32216
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
HIERHOLZER, DANNY MICHAEL DO Supervising Prescribing Practitioner Osteopathic Physician 11234 06/14/2022
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 08/24/2020
MATHAI, ALEX Supervising Prescribing Practitioner Medical Doctor 122229 08/24/2020
MCBRIDE JOHNSON, ERIN RUTH Supervising Prescribing Practitioner Medical Doctor 110283 08/29/2020
MOIR, PAUL A Supervising Prescribing Practitioner Medical Doctor 76950 08/30/2020
MYHRER, ERIK Supervising Prescribing Practitioner Medical Doctor 96634 08/24/2020
PETERSON, MICHAEL DAVID Supervising Prescribing Practitioner Osteopathic Physician 13490 08/31/2018
REZNICSEK, DANIELLE RENEE MD Supervising Prescribing Practitioner Medical Doctor 85463 08/24/2018
SAPOLSKY, JEFFREY HOWARD MD Supervisor Medical Doctor 68324 08/24/2020

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

Name Relationship Profession License Effective Date
ALZATE, ALBERTO ISAAC Prescribing Physician Assistant Medical Doctor 81335 8/4/2020
BAKOR, NADIA Prescribing Physician Assistant Medical Doctor 131303 4/25/2019
BAKOR, NADIA Subordinate Medical Doctor 131303 4/1/2019
BAUERNFEIND, ADAM MICHAEL Prescribing Physician Assistant Physician Assistant 9111280 4/17/2019
BRANNING, MEGHAN LEIGH Prescribing Physician Assistant Physician Assistant 9110029 4/17/2019
BRUCE, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9109680 4/24/2019
CRISSMAN, WILLIAM WARD Prescribing Physician Assistant Physician Assistant 9105322 4/25/2019
DODSON, JENNY MARIA Prescribing Physician Assistant Physician Assistant 9104645 3/30/2020
DODSON, PATRICK RUSSELL Prescribing Physician Assistant Physician Assistant 9110653 4/17/2019
DOWNEY, THOMAS JACKSON Prescribing Physician Assistant Physician Assistant 9109946 3/30/2020
EISMONT, TRACEY JEAN Prescribing Physician Assistant Physician Assistant 3182 4/17/2019
FEHR, LORI L Prescribing Physician Assistant Physician Assistant 9107477 4/23/2019
FENN, GREGORY ALAN Prescribing Physician Assistant Physician Assistant 9108811 4/17/2019
FORTNER, DENNIS LEROY III Prescribing Physician Assistant Physician Assistant 9105894 4/25/2019
GAVLIK, MORGAN PAIGE Prescribing Physician Assistant Physician Assistant 9110306 4/17/2019
GOINS, DAVID SCOTT Prescribing Physician Assistant Physician Assistant 9102736 4/1/2019
HENDERSON, CHRISTOPHER CHARLES MD Subordinate Medical Doctor 81250 4/1/2019
HINSON, JACOB CODY Prescribing Physician Assistant Physician Assistant 9108842 4/17/2019
HINTON, JENNIFER MARIE Prescribing Physician Assistant Physician Assistant 9103166 4/17/2019
HOFFMAN, SUSAN Prescribing Physician Assistant Physician Assistant 9106725 4/25/2019
JURICH, ANGEL CHRISTINE Prescribing Physician Assistant Physician Assistant 9108136 4/1/2019
MANTHA, KALYAN C Subordinate Medical Doctor 122523 4/1/2019
MARTIN, AMBER REBEKAH Prescribing Physician Assistant Physician Assistant 9103989 4/24/2019
MCCAFFREY, JENNIFER Prescribing Physician Assistant Physician Assistant 9109282 4/25/2019
MCMONIGLE, TRACY LEE Prescribing Physician Assistant Physician Assistant 9105808 4/17/2019
MOFFATT, MEGAN H Prescribing Physician Assistant Physician Assistant 9106786 4/25/2019
PFAFF, RUTH ANNE Prescribing Physician Assistant Physician Assistant 9110750 4/25/2019
QUADER, MOHAMMED AZIZUL Prescribing Physician Assistant Medical Doctor 91402 4/1/2019
QUADER, MOHAMMED AZIZUL Subordinate Medical Doctor 91402 4/1/2019
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 4/24/2019
SASSO, LEONARD GERARD Prescribing Physician Assistant Physician Assistant 9105451 4/1/2019
SCHMIDT, ANNE CATHERINE Prescribing Physician Assistant Physician Assistant 9105181 3/4/2019
SHI, KATLIN PALMER Prescribing Physician Assistant Physician Assistant 9109389 4/15/2019
SILVA, MICHELLE M Prescribing Physician Assistant Medical Doctor 129273 4/25/2019
SILVA, MICHELLE M Subordinate Medical Doctor 129273 4/1/2019
SMITH, CAROLINE OLGA Prescribing Physician Assistant Physician Assistant 9106283 4/24/2019
WALKER, RACHEL Prescribing Physician Assistant Physician Assistant 9111179 4/17/2019
WARD, MATTHEW MORGAN Prescribing Physician Assistant Physician Assistant 9108249 4/24/2019
WARD, WILLIAM ALBERT Prescribing Physician Assistant Physician Assistant 9108936 4/23/2019
WATERS, DOUGLAS LEE Prescribing Physician Assistant Physician Assistant 9106355 4/24/2019
YEAZITZIS, CHANDLER LARSEN Prescribing Physician Assistant Physician Assistant 9109042 4/15/2019

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/23/2024



* 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.