License Verification

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KATHERINE MARTINEZ SAMS

License Number: PA9111642

Data As Of 5/14/2025

Profession
Physician Assistant
License
PA9111642
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/20/2018
Address of Record
3001 W. Dr. Martin Luther King
Jr. Blvd.
Children's Administration, 1st floor
TAMPA, FL 33604
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
BADRUDDIN, SALAR SYED Supervising Prescribing Practitioner Medical Doctor 145438 01/01/2022
CLARK, ROBERT SCOTT BEPPU Supervising Prescribing Practitioner Medical Doctor 132014 03/08/2019
DA SILVA, YONG SING SANJURO Supervising Prescribing Practitioner Medical Doctor 146851 03/01/2023
EVANS, IDRIS V R Supervising Prescribing Practitioner Medical Doctor 137757 03/08/2019
GANGU, SHASHIKANTH Supervising Prescribing Practitioner Medical Doctor 131651 03/08/2019
GARNER, KATHRYN NAN Supervising Prescribing Practitioner Physician Assistant 9104347 01/01/2022
HORVAT, CHRISTOPHER MICHAEL Supervising Prescribing Practitioner Medical Doctor 131993 01/01/2022
KERNAN, KATHRYN MARY Supervising Prescribing Practitioner Medical Doctor 138244 04/08/2019
MENCHACA, CESAR ITURIEL Supervising Prescribing Practitioner Medical Doctor 156217 08/01/2022
REXINE, JOEY LEE Supervising Prescribing Practitioner Medical Doctor 159090 08/08/2023
SIMON, DENNIS WILLIAM Supervising Prescribing Practitioner Medical Doctor 132202 03/08/2019
SMITH, TARA MARIE Supervising Prescribing Practitioner Medical Doctor 135580 03/08/2019

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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 5/14/2025



* 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.