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JUSTIN STUART SKIDMORE

License Number: PA9110082

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9110082
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/14/2016
Address of Record
13100 Fort King Rd
DADE CITY, FL 33525
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
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 12/01/2023
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 09/01/2023
ANSARI, MASOOD UL-HASSAN Supervising Prescribing Practitioner Medical Doctor 76511 01/25/2023
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 11/01/2023
BALLARINI, V JOSEPH JOHN Supervising Prescribing Practitioner Osteopathic Physician 11220 10/01/2023
BARNES, RICHARD R JR Supervising Prescribing Practitioner Medical Doctor 69285 11/01/2023
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 11/01/2023
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 09/25/2023
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 09/25/2023
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 09/25/2023
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 11/01/2023
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 11/01/2023
CARDONA, LINA M Supervising Prescribing Practitioner Medical Doctor 156483 10/15/2023
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 09/25/2023
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/15/2023
COBB WEYAND, ALYSSA CLAIRE Supervising Prescribing Practitioner Physician Assistant 9109483 08/01/2021
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 09/15/2023
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 07/08/2022
DAILEY, CHRISTY A Supervising Prescribing Practitioner Physician Assistant 9103849 10/15/2021
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 09/15/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 11/28/2022
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 11/01/2023
FISHER, ALLEN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 6992 04/03/2020
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 01/19/2023
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 11/01/2023
GOYAL, KAMAL KUMAR MD Supervising Prescribing Practitioner Medical Doctor 132449 05/01/2023
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 11/01/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HANEY, MARISA LIANA Supervising Prescribing Practitioner Medical Doctor 106073 08/01/2023
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 08/15/2020
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
JEAN-BAPTISTE, NAOMI Supervising Prescribing Practitioner Medical Doctor 137930 03/01/2023
KLEINMAN, DANA Supervising Prescribing Practitioner Osteopathic Physician 11037 07/24/2021
LUDWIG, RICHARD EUGENE Supervising Prescribing Practitioner Physician Assistant 9102456 11/01/2023
MAHON, BENJAMIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 114305 08/02/2022
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 03/01/2023
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 12/01/2023
MOURSI, HOUSAM DO Supervising Prescribing Practitioner Osteopathic Physician 7173 07/25/2021
NEWHALLER, DANIEL J Supervising Prescribing Practitioner Osteopathic Physician 5594 08/18/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/31/2021
NWAUCHE, UGWUALA Supervising Prescribing Practitioner Medical Doctor 140368 09/02/2021
ORBEZO, ANED M Supervising Prescribing Practitioner Medical Doctor 95479 08/01/2021
PARKS, THOMAS EDWARD Supervising Prescribing Practitioner Physician Assistant 9105210 11/01/2023
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/23/2022
PILGRIM, RANDAL LEE MD Supervising Prescribing Practitioner Medical Doctor 62374 07/24/2021
REHMAN, ARIF UR Supervising Prescribing Practitioner Medical Doctor 83632 01/07/2023
RENNIE, CHAD TROY Supervising Prescribing Practitioner Medical Doctor 151065 09/02/2021
SANTIAGO-APONTE, RAFAEL A Supervising Prescribing Practitioner Medical Doctor 114771 08/31/2021
SCHWARTZ, MATTHEW ABRAM Supervising Prescribing Practitioner Medical Doctor 135491 01/10/2023
SCOTT, DAVID Supervising Prescribing Practitioner Medical Doctor 143679 01/10/2023
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 02/01/2023
SHAH, SHIRALI Supervising Prescribing Practitioner Medical Doctor 134469 01/10/2023
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 01/10/2023
SMITH, JAMES RONALD Supervising Prescribing Practitioner Medical Doctor 88216 07/28/2021
SNEAD, THOMAS LEE II Supervising Prescribing Practitioner Medical Doctor 116520 01/10/2023
STAFF, KRISTINE E Supervising Prescribing Practitioner Medical Doctor 117924 01/10/2023
STRICKLEN, HILLARY E Supervising Prescribing Practitioner Osteopathic Physician 13908 05/01/2023
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 11/01/2022
THOMAS, SHERWIN ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 149747 01/01/2023
TIMMEL, MARK Supervising Prescribing Practitioner Medical Doctor 151869 01/01/2023
TIRHEIMER, WENZEL III Supervising Prescribing Practitioner Medical Doctor 83294 01/19/2023
UMANSKY, AARON JOSEPH Supervising Prescribing Practitioner Medical Doctor 151420 01/10/2023
VIK, DAVID FRANCIS Supervising Prescribing Practitioner Medical Doctor 131797 08/01/2021
WALLACE, STEVEN GREGORY JR Supervising Prescribing Practitioner Physician Assistant 9107761 06/28/2023

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



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