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TRAVIS SCOTT FELDMAN

License Number: PA9110309

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9110309
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/05/2017
Address of Record
3100 East Fletcher Avenue
TAMPA, FL 33613
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
27001 US HWY 19 # 1033 B STAT MED URGENT CARE
CLEARWATER, FL 33761
Address
2600 Bruce B Downs Blvd
WESLEY CHAPEL, FL 33544
Address
7050 Gall blvd
ZEPHYRHILLS, FL 33541
Address
16624 FL-54
LUTZ, FL 33558
Name Relationship Profession License Effective Date
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 01/10/2023
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 10/17/2023
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 01/10/2023
ARENDS, DREW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16069 01/10/2023
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 01/10/2023
ATEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 109582 01/10/2023
ATLAS, YELENA Supervising Prescribing Practitioner Medical Doctor 149603 01/10/2023
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 01/10/2023
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 09/25/2023
BLACKMAN, ABIGAIL SHNITER Supervising Prescribing Practitioner Medical Doctor 127220 01/10/2023
BOLAND, KEVIN PATRICK Supervising Prescribing Practitioner Osteopathic Physician 12732 01/10/2023
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
BUCHANAN, CURTIS BLAKE Supervising Prescribing Practitioner Medical Doctor 131632 01/10/2023
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 11/01/2023
BULTRON-RODRIGUEZ, CRISTINA Supervising Prescribing Practitioner Medical Doctor 98867 01/10/2023
CARDONA, LINA M Supervising Prescribing Practitioner Medical Doctor 156483 10/15/2023
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 09/25/2023
CHERIAN, LESLIE Supervising Prescribing Practitioner Osteopathic Physician 16969 01/10/2023
CHRYSTAL, SEAN ALLAN Supervising Prescribing Practitioner Osteopathic Physician 18317 01/10/2023
CIRILLO, LOUIS ANTHONY Supervising Prescribing Practitioner Medical Doctor 136104 01/10/2023
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/15/2023
CONLEY, AMY RUBEN Supervising Prescribing Practitioner Medical Doctor 79991 01/10/2023
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 09/15/2023
CROWE, DONALD W Supervising Prescribing Practitioner Medical Doctor 43726 01/10/2023
CRUZ, VICTOR DAMASO Supervising Prescribing Practitioner Medical Doctor 117105 01/23/2020
CUEVAS, DANIEL LIM Supervising Prescribing Practitioner Medical Doctor 129675 01/10/2023
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 09/15/2023
D'AMBROSIO, ASHLEY JANE Supervising Prescribing Practitioner Medical Doctor 150911 01/10/2023
DAMIANO, THOMAS R Supervising Prescribing Practitioner Medical Doctor 147160 01/10/2023
DAWKINS, DONALD Supervising Prescribing Practitioner Osteopathic Physician 10160 01/10/2023
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 08/01/2022
DELK, GERALD TYREE Supervising Prescribing Practitioner Medical Doctor 153552 01/10/2023
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 09/15/2023
DEWAN, VAIL LEE MD Supervising Prescribing Practitioner Medical Doctor 93083 01/10/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
DIXON, MARK DALE MD Supervising Prescribing Practitioner Medical Doctor 63074 01/10/2023
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 11/28/2022
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 01/10/2023
FASIUDDIN, NAJAM Supervising Prescribing Practitioner Osteopathic Physician 15006 01/10/2023
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 01/10/2023
FORTSON, SEAN JAMISON Supervising Prescribing Practitioner Osteopathic Physician 8702 01/10/2023
FRANCIS, JEFFREY Supervising Prescribing Practitioner Medical Doctor 155906 01/10/2023
FUCARINO, MATTHEW DANIEL Supervising Prescribing Practitioner Medical Doctor 110000 01/10/2023
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 01/19/2023
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 01/10/2023
GRANT-LEVY, TATIA R DO Supervising Prescribing Practitioner Osteopathic Physician 7331 01/10/2023
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 11/01/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HANNA, RAAFAT MICHEL Supervising Prescribing Practitioner Medical Doctor 69412 01/10/2023
HART, CALEN GENE Supervising Prescribing Practitioner Medical Doctor 156116 01/10/2023
HASKINS, KERRY HUGH MD Supervising Prescribing Practitioner Medical Doctor 49468 01/10/2023
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HLAVATY, HALEY DANIELLE Supervising Prescribing Practitioner Osteopathic Physician 16836 01/10/2023
HUGHES, MICHAEL Supervising Prescribing Practitioner Medical Doctor 156138 01/10/2023
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 01/10/2023
JEAN-FRANCOIS, JULIEN Supervising Prescribing Practitioner Medical Doctor 145041 01/10/2023
JUARBE, MARIFEL Supervising Prescribing Practitioner Medical Doctor 96542 01/10/2023
KARAGEORGIADIS, ALEXANDER STEVEN Supervising Prescribing Practitioner Medical Doctor 136223 01/10/2023
KING, ROBYN Supervising Prescribing Practitioner Osteopathic Physician 15023 01/10/2023
KIRBY, SARA E Supervising Prescribing Practitioner Medical Doctor 113449 01/10/2023
KIRTZ, JEREMY FECHTER Supervising Prescribing Practitioner Medical Doctor 108993 01/10/2023
LACAYO BAEZ, MARCELO JOSE Supervising Prescribing Practitioner Medical Doctor 140238 01/10/2023
LALLY, ARLEEN ANN Supervising Prescribing Practitioner Osteopathic Physician 8845 01/10/2023
LAMEE, ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 17580 01/10/2023
LANCASTER, CHRISTINE BARONE Supervising Prescribing Practitioner Medical Doctor 95506 01/10/2023
LAND, LARRY LEE Supervising Prescribing Practitioner Medical Doctor 108914 01/10/2023
LEBLANC, LOUIS JOSEPH Supervising Prescribing Practitioner Medical Doctor 116958 01/10/2023
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 12/01/2023
MILLER, NATALIE Supervising Prescribing Practitioner Physician Assistant 9110339 08/26/2022
PARKS, THOMAS EDWARD Supervising Prescribing Practitioner Physician Assistant 9105210 02/26/2022
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/23/2022
RAGBEER, DAVID Supervising Prescribing Practitioner Osteopathic Physician 17806 01/10/2023
REYNOLDS, KYLE Supervising Prescribing Practitioner Osteopathic Physician 18684 01/10/2023
RICHARDS, PAUL JOSEPH Supervising Prescribing Practitioner Medical Doctor 123018 01/10/2023
ROCKLER, KENDALL MICHELLE Supervising Prescribing Practitioner Medical Doctor 114880 12/01/2023
ROGERS, HOWARD LEE Supervising Prescribing Practitioner Medical Doctor 71304 01/10/2023
ROMANO, FREDERICK P Supervising Prescribing Practitioner Osteopathic Physician 11078 01/10/2023
ROSA-DE JESUS, CLARINES Supervising Prescribing Practitioner Medical Doctor 110997 01/10/2023
SAMUEL, PETER AIAD Supervising Prescribing Practitioner Medical Doctor 132116 01/10/2023
SANTAYANA, RICARDO JR Supervising Prescribing Practitioner Medical Doctor 119115 01/10/2023
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 01/10/2023
SELLEY, VICTORIA HUTTO Supervising Prescribing Practitioner Osteopathic Physician 15469 01/10/2023
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 MICHAEL Supervising Prescribing Practitioner Medical Doctor 106958 08/21/2018
SMITH, MATTHEW WAYNE Supervising Prescribing Practitioner Osteopathic Physician 16446 02/14/2023
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
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
VACCARO, LISA MARIE Supervising Prescribing Practitioner Osteopathic Physician 18651 01/10/2023
VAN ETTEN, BRITTNEY MICHELLE Supervising Prescribing Practitioner Osteopathic Physician 17756 01/10/2023
VAN ETTEN, CHRISTOPHER JAMES Supervising Prescribing Practitioner Osteopathic Physician 16829 01/10/2023
VELASCO, WILLIAM J Supervising Prescribing Practitioner Medical Doctor 121914 01/10/2023
WALDMAN, ALEX JEFFREY Supervising Prescribing Practitioner Medical Doctor 143889 01/10/2023
WENZEL, SERGE ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 14350 01/10/2023
WHITE, JEREMY V Supervising Prescribing Practitioner Osteopathic Physician 11399 01/10/2023
WILLIAMS, ARTHUR LEE II Supervising Prescribing Practitioner Medical Doctor 107960 01/10/2023
YOHANNES-PETERS, FITSUM Supervising Prescribing Practitioner Medical Doctor 92187 01/10/2023
YONTECK, FREDERICK TODD Supervising Prescribing Practitioner Medical Doctor 87287 01/10/2023
ZAYAS MALDONADO, DAY ONILL Supervising Prescribing Practitioner Medical Doctor 131573 01/10/2023

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



* 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.