License Verification

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IAN DAVID STORCH

License Number: ME132808

Data As Of 9/28/2024

Profession
Medical Doctor
License
ME132808
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
06/02/2017
Address of Record
15255 Max Leggett Pkwy
JACKSONVILLE, FL 32218
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
FLORES-GONZALEZ, BARBARA NAHIR Supervisor Medical Doctor 144375 04/20/2021
JAVED, ADNAN Supervising Prescribing Practitioner Medical Doctor 139985 09/01/2021

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Name Relationship Profession License Effective Date
ANDREWS, ADRIAN ANTHONY Prescribing Physician Assistant Physician Assistant 9103249 4/24/2020
EISMONT, TRACEY JEAN Prescribing Physician Assistant Physician Assistant 3182 6/26/2023
GABY, CHRISTINA Prescribing Physician Assistant Physician Assistant 9107129 5/14/2018
GAVLIK, MORGAN PAIGE Prescribing Physician Assistant Physician Assistant 9110306 8/14/2020
JARAMILLO, DAVID HERNANDO Prescribing Physician Assistant Medical Doctor 96063 8/20/2020
JARAMILLO, DAVID HERNANDO Subordinate Medical Doctor 96063 8/17/2020
KERZHNER, EDUARD Prescribing Physician Assistant Physician Assistant 9111996 2/20/2020
MARTINEZ, TAMMY PRUITT Prescribing Physician Assistant Physician Assistant 9110936 3/12/2018
NAVARRO, SONJA RENEE Prescribing Physician Assistant Physician Assistant 9106029 12/20/2020
NGUYEN, MICHAEL TUAN Prescribing Physician Assistant Physician Assistant 9107834 8/30/2017
NICOLOSO, FRANCESCA MARINA Prescribing Physician Assistant Physician Assistant 9107277 8/30/2017
SABIN, JESSICA MARIE Prescribing Physician Assistant Physician Assistant 9106382 12/15/2020
SHIRLEY, KALEENA LYNN Prescribing Physician Assistant Physician Assistant 9109143 8/30/2017
SIMPSON, KAREN WEAVER Prescribing Physician Assistant Physician Assistant 3674 12/15/2020
SPEED DIERSING, ELIZABETH ANNE Prescribing Physician Assistant Physician Assistant 9104503 12/15/2020
WILSON, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9107414 12/20/2020

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Name Relationship Profession License Effective Date

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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.