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PATRICK RUSSELL DODSON

License Number: PA9110653

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9110653
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/07/2017
Address of Record
1 Shircliff Way
JAX, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1670 SHIRCLIFF WAY
MIDDLEBURG, FL 32068
Address
1580 BRANAN FIELD RD ST VINCENTS MEDICAL CENTER CLAY COUNTY RIVERSIDE
MIDDLEBURG, FL 32068
Name Relationship Profession License Effective Date
AIELLO, JAMES JOHN Supervising Prescribing Practitioner Medical Doctor 113843 09/25/2018
ALEMAN-BERMUDEZ, JAIME J Supervising Prescribing Practitioner Medical Doctor 49940 05/23/2018
ALONSO, LEONARDO LAZARO Supervising Prescribing Practitioner Osteopathic Physician 6584 05/23/2018
ATTLESEY, MARK GRAHAM Supervising Prescribing Practitioner Medical Doctor 71653 05/23/2018
AUGENSTEIN, W LYNN MD Supervising Prescribing Practitioner Medical Doctor 55214 09/25/2018
BAKOR, NADIA Supervising Prescribing Practitioner Medical Doctor 131303 05/23/2018
BERGER, BRADLEY ROSS MD Supervising Prescribing Practitioner Medical Doctor 51471 09/25/2018
BLAKE, STEVEN MITCHELL M D Supervising Prescribing Practitioner Medical Doctor 58519 05/23/2018
BRYANT, LAURIE SUSAN Supervising Prescribing Practitioner Osteopathic Physician 13282 09/25/2018
CHAPMAN, JENNIFER COLES Supervising Prescribing Practitioner Medical Doctor 125751 05/23/2018
DAVIS, DAVID RICHARD Supervising Prescribing Practitioner Medical Doctor 96442 05/23/2018
DIETRICH, WILLIAM GERARD MD Supervising Prescribing Practitioner Medical Doctor 55253 06/24/2019
FINKLEA, TERI LYNN Supervising Prescribing Practitioner Medical Doctor 115273 09/25/2018
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 05/23/2018
GYARMATHY, RAYMOND HOWARD Supervising Prescribing Practitioner Medical Doctor 53513 02/01/2018
HAROLD, KELVIN JAMES Supervising Prescribing Practitioner Medical Doctor 122392 09/25/2018
HOIDA, JEFFREY SCOTT MD Supervising Prescribing Practitioner Medical Doctor 136257 09/25/2018
HOIDA, SHIELDS DUSS Supervising Prescribing Practitioner Medical Doctor 125526 04/17/2019
HUMPHRIES, JERRY FRANKLIN JR Supervising Prescribing Practitioner Medical Doctor 112733 05/23/2018
JARAMILLO, DAVID HERNANDO Supervising Prescribing Practitioner Medical Doctor 96063 09/25/2018
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 05/23/2018
JOHNSTONE, CHRISTINE LYN Supervising Prescribing Practitioner Medical Doctor 97925 09/25/2018
KEENER, JANEL LAURA Supervising Prescribing Practitioner Medical Doctor 115434 05/23/2018
KING, FORREST JOSEPH Supervising Prescribing Practitioner Medical Doctor 124146 05/23/2018
KING, KENNETH Supervising Prescribing Practitioner Osteopathic Physician 8648 05/23/2018
KINMAN, ISAAC MITCHELL Supervising Prescribing Practitioner Osteopathic Physician 15575 06/24/2019
KOURY, RONALD FORREST D O Supervising Prescribing Practitioner Osteopathic Physician 8090 05/23/2018
LAMOND, RYAN DANIEL Supervising Prescribing Practitioner Medical Doctor 106090 05/23/2018
LUCEY, PAUL D MD Supervising Prescribing Practitioner Medical Doctor 50050 09/25/2018
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 09/25/2018
MCBRIDE JOHNSON, ERIN RUTH Supervising Prescribing Practitioner Medical Doctor 110283 09/25/2018
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 05/23/2018
MOIR, PAUL A Supervising Prescribing Practitioner Medical Doctor 76950 09/25/2018
MYHRER, ERIK Supervising Prescribing Practitioner Medical Doctor 96634 09/25/2018
OLIVER, RADAMES ALBERTO Supervising Prescribing Practitioner Medical Doctor 67906 05/23/2018
PAPAVASILIOU, JOHN JOSEPH Supervising Prescribing Practitioner Medical Doctor 66371 05/23/2018
PETERSON, MICHAEL DAVID Supervising Prescribing Practitioner Osteopathic Physician 13490 09/25/2018
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 05/23/2018
REZNICSEK, DANIELLE RENEE MD Supervising Prescribing Practitioner Medical Doctor 85463 09/25/2018
SAPOLSKY, JEFFREY HOWARD MD Supervising Prescribing Practitioner Medical Doctor 68324 06/24/2019
SCHARE, ANDREW IRA Supervising Prescribing Practitioner Medical Doctor 80137 10/04/2023
SHAH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 127108 06/24/2019
SHARP, PHILIP R Supervising Prescribing Practitioner Medical Doctor 22975 06/24/2019
STERKA, DAVID GEORGE JR Supervising Prescribing Practitioner Medical Doctor 125380 06/24/2019
STERN, NEIL DAVID Supervising Prescribing Practitioner Osteopathic Physician 8723 02/01/2018
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 05/23/2018
VIHLEN, ANDREW SCOTT Supervising Prescribing Practitioner Medical Doctor 109676 06/24/2019
WALLACE, MOIRA PETIRS Supervising Prescribing Practitioner Medical Doctor 133941 05/23/2018
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 05/23/2018
WARRINGTON, STEVEN Supervising Prescribing Practitioner Medical Doctor 131907 05/23/2018
WINNINGHAM, DAVID JASON Supervising Prescribing Practitioner Osteopathic Physician 12586 05/23/2018
WOOD, STEPHANIE KAREN Supervising Prescribing Practitioner Medical Doctor 35012 05/23/2018
ZERNIAL, CHRISTOPHER B Supervising Prescribing Practitioner Medical Doctor 131593 05/23/2018

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Name Relationship Profession License Effective Date

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



* 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.