License Verification
ALAN RYAN BLACKBURN II
License Number: ME130977
Data As Of 4/19/2025
- Address
- 9401 SW Discovery Way Suite 201
- PORT SAINT LUCIE, FL 34987
- Address
- 9401 SW Discovery Way Suite 101
- PORT SAINT LUCIE, FL 34987

Name | Relationship | Profession | License | Effective Date |
---|
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
AVIDON, PAUL I | Prescribing Physician Assistant | Physician Assistant | 1609 | 8/21/2024 |
BARNEWOLD, KEVIN FRANCIS | Prescribing Physician Assistant | Physician Assistant | 9102603 | 8/21/2024 |
BUSSOM, SCOTT | Prescribing Physician Assistant | Physician Assistant | 9114250 | 8/21/2024 |
COBB, TARA ANN | Prescribing Physician Assistant | Physician Assistant | 9101659 | 8/21/2024 |
DEMARCO, NICHOLAS ERNEST | Prescribing Physician Assistant | Physician Assistant | 9109406 | 8/21/2024 |
FELDMAN, TED MARSHALL | Prescribing Physician Assistant | Physician Assistant | 9113062 | 8/21/2024 |
GINSBURG, EVAN | Prescribing Physician Assistant | Physician Assistant | 9117168 | 6/26/2023 |
HOLSCHWANDER, DAMIAN | Prescribing Physician Assistant | Physician Assistant | 9117363 | 6/26/2023 |
MATHEW, ROYCE THOMAS | Prescribing Physician Assistant | Physician Assistant | 9112762 | 8/21/2024 |
MCGANNON, ANDREA NICOLE | Prescribing Physician Assistant | Physician Assistant | 9116067 | 3/12/2024 |
MUSCARELLA, DARRIN JAMES | Prescribing Physician Assistant | Physician Assistant | 9117971 | 3/12/2024 |
PALLATTO, KYM ANGELA | Prescribing Physician Assistant | Physician Assistant | 9106272 | 8/21/2024 |
REED, JAYCE IAN | Prescribing Physician Assistant | Physician Assistant | 9109221 | 7/22/2024 |
RODRIGUEZ, FELIX | Prescribing Physician Assistant | Physician Assistant | 9114185 | 7/22/2024 |
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 4/20/2025
* 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.