License Verification

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MICHAEL HANSON CARPENTER

License Number: ME147520

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME147520
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
10/13/2020
Address of Record
655 W 8th Street
JACKSONVILLE, FL 32209
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

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Name Relationship Profession License Effective Date
BIRMINGHAM, RICHARD ERVIN Prescribing Physician Assistant Physician Assistant 9113895 12/12/2022
EISMONT, TRACEY JEAN Prescribing Physician Assistant Physician Assistant 3182 10/12/2023
HINSON, JACOB CODY Prescribing Physician Assistant Physician Assistant 9108842 8/10/2024
HOIDA, SHIELDS DUSS Prescribing Physician Assistant Medical Doctor 125526 8/10/2024
MANTHA, KALYAN C Prescribing Physician Assistant Medical Doctor 122523 8/10/2024
SHIRLEY, KALEENA LYNN Prescribing Physician Assistant Physician Assistant 9109143 8/5/2021

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 11/21/2024



* 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.