License Verification

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COLLEEN MARIE O'SHELL

License Number: PA9109521

Data As Of 5/7/2024

Profession
Physician Assistant
License
PA9109521
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/09/2016
Address of Record

This practitioner does not have an address of record on file with the department. If you have any questions, please contact the department at (850) 488-0595.

Address of Record
NOT PRACTICING
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
AGDAMAG, PATRICK LEE Supervising Prescribing Practitioner Medical Doctor 104157 08/05/2016
AGUAYO, ELLIOTT JAMES Supervising Prescribing Practitioner Medical Doctor 118692 08/05/2016
ATEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 109582 08/05/2016
BARRON, SCOTT ALAN Supervising Prescribing Practitioner Medical Doctor 107217 08/05/2016
BOLAND, KEVIN PATRICK Supervising Prescribing Practitioner Osteopathic Physician 12732 08/05/2016
CANO, ROBERT ANTHONY DO Supervising Prescribing Practitioner Osteopathic Physician 7269 08/05/2016
CARABALLO, DAMIAN EDUARDO IV Supervising Prescribing Practitioner Medical Doctor 106340 08/05/2016
CONLEY, AMY RUBEN Supervising Prescribing Practitioner Medical Doctor 79991 08/05/2016
DE LUCA, LAURIE JEAN Supervising Prescribing Practitioner Medical Doctor 94019 08/05/2016
DESAI, AJAY Supervising Prescribing Practitioner Osteopathic Physician 12568 08/05/2016
DRAVIAM, SAMEER P Supervising Prescribing Practitioner Medical Doctor 116541 08/05/2016
DUBEY, JESSE VINCENT Supervising Prescribing Practitioner Osteopathic Physician 13099 08/05/2016
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 08/05/2016
GRANT-LEVY, TATIA R DO Supervising Prescribing Practitioner Osteopathic Physician 7331 08/05/2016
HASKINS, KERRY HUGH MD Supervising Prescribing Practitioner Medical Doctor 49468 08/05/2016
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 08/05/2016
KEILMAN, CLINTON GABRIEL Supervising Prescribing Practitioner Medical Doctor 128366 08/05/2016
KELLOCK, HEIDI-MARIE ALEXANDRA M D Supervising Prescribing Practitioner Medical Doctor 114140 08/05/2016
KIRTZ, JEREMY FECHTER Supervising Prescribing Practitioner Medical Doctor 108993 08/05/2016
KOONKITTI, PARICHART CANDY Supervising Prescribing Practitioner Medical Doctor 125284 08/05/2016
KUMAR, SIDHARTH KAUSHIK Supervising Prescribing Practitioner Medical Doctor 122215 08/05/2016
LANCASTER, CHRISTINE BARONE Supervising Prescribing Practitioner Medical Doctor 95506 08/05/2016
LAND, LARRY LEE Supervising Prescribing Practitioner Medical Doctor 108914 08/05/2016
LAY, STEVEN F M D Supervising Prescribing Practitioner Medical Doctor 51047 08/05/2016
LEE, EUGENE C Supervising Prescribing Practitioner Medical Doctor 115521 08/05/2016
LUCAS, JOANNE BRYAN Supervising Prescribing Practitioner Medical Doctor 97884 08/05/2016
MATHUR, MONAL PATEL Supervising Prescribing Practitioner Medical Doctor 101062 08/05/2016
MATHUR, RAJNEESH Supervising Prescribing Practitioner Osteopathic Physician 10264 08/05/2016
MERRITT, RAYMOND LEE Supervising Prescribing Practitioner Osteopathic Physician 11538 08/05/2016
NESSELROADE, RYAN DAVID Supervising Prescribing Practitioner Medical Doctor 106189 08/05/2016
O'MALLEY, RACHEL ELIZABETH Supervising Prescribing Practitioner Medical Doctor 112862 08/05/2016
PATEL, TEJAS Supervising Prescribing Practitioner Osteopathic Physician 13790 08/05/2016
PAYOR, AUSTIN DANIEL Supervising Prescribing Practitioner Osteopathic Physician 10925 08/05/2016
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 08/05/2016
PIERRO, ANTHONY PETER Supervising Prescribing Practitioner Osteopathic Physician 12031 08/05/2016
PRATOR, PAUL CARL M D Supervising Prescribing Practitioner Medical Doctor 92865 08/05/2016
SANTAYANA, RICARDO JR Supervising Prescribing Practitioner Medical Doctor 119115 08/05/2016
SECREST, JULIE K Supervising Prescribing Practitioner Medical Doctor 110718 08/05/2016
SHAH, MANASI SAMIR Supervising Prescribing Practitioner Medical Doctor 127451 08/05/2016
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 08/05/2016
SPENCER, ANDREW JOSEPH Supervising Prescribing Practitioner Medical Doctor 122767 08/05/2016
TEPPER, EVAN BRETT MD Supervising Prescribing Practitioner Medical Doctor 60190 08/05/2016
TICKETT, SHELLEY SMITH Supervising Prescribing Practitioner Medical Doctor 90313 08/05/2016
TIRHEIMER, WENZEL III Supervising Prescribing Practitioner Medical Doctor 83294 08/05/2016
VIBHAKAR, ARJUN Supervising Prescribing Practitioner Medical Doctor 128122 08/05/2016
VOEGTLI, KRYSTYNA RENEE Supervising Prescribing Practitioner Medical Doctor 114913 08/05/2016
WHITE, JEREMY V Supervising Prescribing Practitioner Osteopathic Physician 11399 08/05/2016
YOHANNES-PETERS, FITSUM Supervising Prescribing Practitioner Medical Doctor 92187 08/05/2016
YONTECK, FREDERICK TODD Supervising Prescribing Practitioner Medical Doctor 87287 08/05/2016
ZAHARIS, CONSTANTINE ZACHARY MD Supervising Prescribing Practitioner Medical Doctor 112437 08/05/2016
ZAHN, ELISE JOY Supervising Prescribing Practitioner Osteopathic Physician 7897 08/05/2016

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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 5/7/2024



* 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.