License Verification

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STEPHEN JOSEPH SIGNORE MR

License Number: PA2754

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA2754
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/11/1994
Address of Record
5356 Meadow Song Drive
OKAHUMPKA, FL 34762
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
ExpressCare of Leesburg 2500 Citrus Blvd
LEESBURG, FL 34748
Address
2600 Westhall Lane
MAITLAND, FL 32751
Address
Express Care of Belleview 10762 US-441
BELLEVIEW, FL 34420
Name Relationship Profession License Effective Date
ABD EL AZIZ, AHMED ESSAM Supervising Prescribing Practitioner Medical Doctor 168022 06/30/2024
ARIAS, ERICH ALBERTO Supervising Prescribing Practitioner Medical Doctor 101986 12/26/2023
BENSON, RACHEL Supervising Prescribing Practitioner Medical Doctor 169504 07/31/2024
DAVIDSON-JOCKOVICH, DAWN MARIE MD Supervising Prescribing Practitioner Medical Doctor 66378 08/02/2021
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 10/09/2024
HOLCOMBE, KEVIN WESTRAY Supervising Prescribing Practitioner Medical Doctor 112246 08/15/2023
ICE, SHIRLEY ANN M D Supervising Prescribing Practitioner Medical Doctor 71113 12/01/2023
KAPPER, JORDAN Supervising Prescribing Practitioner Medical Doctor 159916 02/17/2023
LARICE, WALESKA Supervising Prescribing Practitioner Medical Doctor 117446 08/02/2024
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 03/31/2021
PITTS, DAPHNE MARIAN MD Supervising Prescribing Practitioner Medical Doctor 90371 10/09/2024
REDDY, MOVVA NAVIN Supervising Prescribing Practitioner Medical Doctor 93812 12/12/2023
SPRY, DONAL JEREMY Supervising Prescribing Practitioner Osteopathic Physician 11298 12/12/2023
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 06/13/2023
WILKINSON, JOHN J Supervising Prescribing Practitioner Medical Doctor 131732 10/02/2024
WILSON, HOLLY JO Supervising Prescribing Practitioner Medical Doctor 98782 10/02/2024

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Name Relationship Profession License Effective Date
HOLT, CHARDE BREANN Prescribing Physician Assistant Physician Assistant 9112643 8/25/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* 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.