License Verification
MARIAH WRINKLE
License Number: PA9110612
Data As Of 6/9/2025
- Address
- 14550 Old St. Augustine road
- JACKSONVILLE, FL 32258
- Address
- 1250 S 18TH STREET BAPTIST NASSAU
- FERNANDINA BEACH, FL 32034
- Address
- 400 HEALTH PARK BLVD. FLAGLER HOSPITAL
- SAINT AUGUSTINE, FL 32086
- Address
- 1 Shircliff Way
- JACKSONVILLE, FL 32204
- Address
- 800 prudential Drive
- JACKSONVILLE, FL 32207
- Address
- 4201 Belford road
- JAX, FL 32216

Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
HARRIS, ANTHONY MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 94420 | 10/29/2018 |
KEENER, EMILY MAE | Supervising Prescribing Practitioner | Osteopathic Physician | 13589 | 10/29/2018 |
TABRIZI, PAYAM | Supervising Dispensing Practitioner | Medical Doctor | 133411 | 11/13/2018 |
TABRIZI, PAYAM | Supervising Prescribing Practitioner | Medical Doctor | 133411 | 12/21/2017 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 6/9/2025
* 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.