License Verification

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MICHAEL THOMAS BRUCE

License Number: PA9109680

Data As Of 5/3/2024

Profession
Physician Assistant
License
PA9109680
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/27/2016
Address of Record
Jacksonville Memorial Hospital
3625 University Blvd South
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
200 AVENUE F. N.E WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Address
11190 HEALTH PARK BLVD. NCH NORTH NAPLES HOSPITAL
NAPLES, FL 34110
Address
15420 COLLIER BLVD. NCH HEALTHCARE NORTHEAST
NAPLES, FL 34120
Address
8383 N. DAVIS HWY WEST FLORIDA HOSPITAL
PENSACOLA, FL 32514
Address
350 7TH ST. NORTH NCH BAKER HOSPITAL
NAPLES, FL 34102
Address
40 S. HEATHWOOD DR. MARCO HEALTHCARE CENTER
MARCO ISLAND, FL 34145
Address
2001 Kingsley Avenue Orange Park Medical Center
ORANGE PARK, FL 32073
Address
6477 103RD ST Park West ER
JACKSONVILLE, FL 32210-7129
Address
9400 W. Highway 98
PENSACOLA, FL 32506
Address
2674 Capital Circle SE Tallahassee Medical Center Southwood
TALLAHASSEE, FL 32311
Name Relationship Profession License Effective Date
ALEMAN-BERMUDEZ, JAIME J Supervising Prescribing Practitioner Medical Doctor 49940 04/09/2018
ALONSO, LEONARDO LAZARO Supervising Prescribing Practitioner Osteopathic Physician 6584 04/09/2018
AMIN, SHILPA KIRIT Supervising Prescribing Practitioner Medical Doctor 118558 04/09/2018
ARAGONA, JODI L Supervising Prescribing Practitioner Medical Doctor 100638 04/09/2018
ATTLESEY, MARK GRAHAM Supervising Prescribing Practitioner Medical Doctor 71653 04/09/2018
BAKOR, NADIA Supervising Prescribing Practitioner Medical Doctor 131303 04/09/2018
BARDINELLI, JOSEPH DO Supervising Prescribing Practitioner Osteopathic Physician 15844 04/01/2019
BHANJI, WYLENE NOLAN Supervising Prescribing Practitioner Osteopathic Physician 9034 04/09/2018
BISHOP, TRACY MARIE Supervising Prescribing Practitioner Osteopathic Physician 16617 10/01/2023
BLAKE, STEVEN MITCHELL M D Supervising Prescribing Practitioner Medical Doctor 58519 04/09/2018
BRACE, RONALD JOHN Supervising Prescribing Practitioner Medical Doctor 120282 04/09/2018
CHAMBERS, JESSICA Supervising Prescribing Practitioner Osteopathic Physician 15853 12/05/2019
CHAPMAN, JENNIFER COLES Supervising Prescribing Practitioner Medical Doctor 125751 04/09/2018
CHEANVECHAI, DAYCHA Supervising Prescribing Practitioner Medical Doctor 76415 04/09/2018
CHRISTEN, NEIL LEONARD Supervising Prescribing Practitioner Medical Doctor 129370 04/09/2018
CONKLU, EMRE MEHMET Supervising Prescribing Practitioner Osteopathic Physician 10121 10/01/2023
CRUM, MICHAEL Supervising Prescribing Practitioner Medical Doctor 140288 12/05/2019
CURRIE, MICHAEL JOHN Supervising Prescribing Practitioner Osteopathic Physician 14738 04/09/2018
DAVIS, DAVID RICHARD Supervising Prescribing Practitioner Medical Doctor 96442 04/09/2018
DEJESUS JARQUIN, OTILIA Supervising Prescribing Practitioner Medical Doctor 105497 04/24/2019
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 04/01/2019
ESPOSITO, TRAVIS Supervising Prescribing Practitioner Osteopathic Physician 19784 10/01/2023
EUWEMA, MICHAEL SCOTT Supervising Prescribing Practitioner Medical Doctor 91648 04/09/2018
FORSTER, JOHN GEORGE III Supervising Prescribing Practitioner Medical Doctor 69993 04/09/2018
FRIEDMAN, JOEL Supervising Prescribing Practitioner Medical Doctor 38711 10/01/2023
FRIER, JACOB TROY Supervising Prescribing Practitioner Medical Doctor 141415 12/05/2019
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 04/09/2018
GRIGSBY, ROBERT LEE III Supervising Prescribing Practitioner Medical Doctor 34609 04/09/2018
GUFFREY, KATHRYN MARY Supervising Prescribing Practitioner Medical Doctor 137235 12/05/2019
GYARMATHY, RAYMOND HOWARD Supervising Prescribing Practitioner Medical Doctor 53513 04/09/2018
HAYES, JAMES D JR Supervising Prescribing Practitioner Medical Doctor 42140 04/09/2018
HOIDA, JEFFREY SCOTT MD Supervising Prescribing Practitioner Medical Doctor 136257 04/24/2019
HOIDA, SHIELDS DUSS Supervising Prescribing Practitioner Medical Doctor 125526 04/24/2019
HUMPHRIES, ASHLEY ROSE Supervising Prescribing Practitioner Medical Doctor 160796 10/01/2023
HUMPHRIES, JERRY FRANKLIN JR Supervising Prescribing Practitioner Medical Doctor 112733 04/09/2018
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 04/09/2018
JOHNSON, JENNIFER BURKE Supervising Prescribing Practitioner Medical Doctor 115159 04/09/2018
KEENER, JANEL LAURA Supervising Prescribing Practitioner Medical Doctor 115434 04/09/2018
KING, FORREST JOSEPH Supervising Prescribing Practitioner Medical Doctor 124146 04/09/2018
KING, KENNETH Supervising Prescribing Practitioner Osteopathic Physician 8648 04/09/2018
KLEIN, JUSTIN BLAKE Supervising Prescribing Practitioner Osteopathic Physician 13685 10/01/2023
KOULIEV, TIMUR Supervising Prescribing Practitioner Medical Doctor 112603 12/05/2019
KOURY, RONALD FORREST D O Supervising Prescribing Practitioner Osteopathic Physician 8090 04/09/2018
KRABACHER, KENNETH DANIEL MD Supervising Prescribing Practitioner Medical Doctor 129897 12/05/2019
KUMETZ, CHRISTOPHER ALEXEI Supervising Prescribing Practitioner Medical Doctor 135191 12/05/2019
LAMOND, RYAN DANIEL Supervising Prescribing Practitioner Medical Doctor 106090 04/09/2018
LE, TRUNG Supervising Prescribing Practitioner Medical Doctor 154049 10/01/2023
LEE, JULIA SUN MD Supervising Prescribing Practitioner Medical Doctor 111060 10/01/2023
LEWIS, JOHN PATRICK Supervising Prescribing Practitioner Medical Doctor 65873 10/01/2023
LYNCH, TAYLOR Supervising Prescribing Practitioner Medical Doctor 160593 10/01/2023
MACIAN, DIANA MARIA Supervising Prescribing Practitioner Medical Doctor 127444 12/05/2019
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 09/20/2018
MARITATO, CHRISTOPHER JOHN Supervising Prescribing Practitioner Osteopathic Physician 8219 12/05/2019
MATHAI, ALEX Supervising Prescribing Practitioner Medical Doctor 122229 04/09/2018
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 04/09/2018
MIAN, USMAN TARIQ Supervising Prescribing Practitioner Medical Doctor 128350 12/05/2019
MULLIS, JERRY WILLIAM JR Supervising Prescribing Practitioner Medical Doctor 74778 04/09/2018
OLIVER, RADAMES ALBERTO Supervising Prescribing Practitioner Medical Doctor 67906 04/09/2018
PAPAVASILIOU, JOHN JOSEPH Supervising Prescribing Practitioner Medical Doctor 66371 04/09/2018
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 04/09/2018
ROSADO, MELISSA Supervising Prescribing Practitioner Medical Doctor 125407 04/09/2018
SHEFFLER, MARK ALLEN Supervising Prescribing Practitioner Medical Doctor 124817 04/09/2018
SOUD, JOHN CALEIST D O Supervising Prescribing Practitioner Osteopathic Physician 8420 04/09/2018
STERN, NEIL DAVID Supervising Prescribing Practitioner Osteopathic Physician 8723 04/09/2018
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 04/09/2018
THOMAS, ROBERT LOUIS Supervising Prescribing Practitioner Osteopathic Physician 8592 04/09/2018
VIOLARIS, JOSEPH Supervising Prescribing Practitioner Medical Doctor 140807 12/05/2019
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 04/09/2018
WARRINGTON, STEVEN Supervising Prescribing Practitioner Medical Doctor 131907 04/09/2018
WHEELER, MARERIL Supervising Prescribing Practitioner Medical Doctor 126534 04/09/2018
WIEGERS, EDWARD III Supervising Prescribing Practitioner Osteopathic Physician 14844 12/05/2019
WIETECHA, KATHERINE MARGARET Supervising Prescribing Practitioner Medical Doctor 158560 10/01/2023
WINNINGHAM, DAVID JASON Supervising Prescribing Practitioner Osteopathic Physician 12586 04/09/2018
WOOD, STEPHANIE KAREN Supervising Prescribing Practitioner Medical Doctor 35012 04/09/2018
YOUNG, DANIEL NATHAN Supervising Prescribing Practitioner Medical Doctor 139282 12/05/2019
ZAGER, SCOTT LAWRENCE Supervising Prescribing Practitioner Medical Doctor 91062 04/09/2018
ZERNIAL, CHRISTOPHER B Supervising Prescribing Practitioner Medical Doctor 131593 04/09/2018

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No Continuing Education Hours Received from Approved Providers As Of 5/3/2024



* 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.