License Verification

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KEITH CAMERON BURLEY

License Number: ME128193

Data As Of 9/28/2024

Profession
Medical Doctor
License
ME128193
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
05/05/2016
Address of Record
636 DEL PRADO BLVD
CAPE CORAL, FL 33990
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1611 Santa Barb Blvd Suite 120
CAPE CORAL, FL 33991
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BREAULT, SARA ANNE Prescribing Physician Assistant Physician Assistant 9110224 12/18/2017
EISENBERG, LINDSEY KATHLEEN Prescribing Physician Assistant Physician Assistant 9108750 1/9/2018
MOSKOWITZ, RYAN ALAN Prescribing Physician Assistant Physician Assistant 9109625 9/13/2017
MURPHY, SHANNON AMY Prescribing Physician Assistant Physician Assistant 9104387 3/30/2020
SUCKOW, WENDY SUE Prescribing Physician Assistant Physician Assistant 9101731 11/9/2016

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

Name Relationship Profession License Effective Date

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



No Continuing Education Hours Received from Approved Providers As Of 9/28/2024



* 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.