License Verification

Printer Friendly Version

KRISTEN BAKER

License Number: ME136588

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME136588
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
05/22/2018
Address of Record
303 N Clyde Morris Blvd
DAYTONA BEACH, FL 32114
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

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

Name Relationship Profession License Effective Date
BRENNER, JEREMY PHILIP Prescribing Physician Assistant Physician Assistant 9107287 1/18/2019
JUSTICE, ALLISON JEAN Prescribing Physician Assistant Physician Assistant 9108135 1/18/2019
MARTIN, RICARDO Prescribing Physician Assistant Physician Assistant 9106632 10/15/2018
MILLER, KERI LONG Prescribing Physician Assistant Physician Assistant 9108344 1/17/2019
NEWTON, ADRIANNE Prescribing Physician Assistant Physician Assistant 9108825 1/18/2019

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 11/22/2024



* 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.