License Verification

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ALLISTAIR SMITH

License Number: PA9111535

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9111535
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/06/2018
Address of Record
40100 Highway 27
AdventHealth Heart of Florida
FKA Heart of Fl Regional Med. Ctr.
DAVENPORT, FL 33837-5906
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
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 11/22/2022
ABREU, ARNALDO JOSE Supervising Prescribing Practitioner Medical Doctor 76562 11/22/2022
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 11/22/2022
ALEXANDER, LARRY LEON Supervising Prescribing Practitioner Medical Doctor 80072 08/01/2021
ARENDS, DREW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16069 11/22/2022
ARNOLD, JOHN L JR Supervising Prescribing Practitioner Medical Doctor 90636 08/02/2021
ARRIAGA-ONEILL, YARITZA MD Supervising Prescribing Practitioner Medical Doctor 111529 08/01/2021
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 11/22/2022
ATEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 109582 11/22/2022
ATLAS, YELENA Supervising Prescribing Practitioner Medical Doctor 149603 11/22/2022
BARABAS, ALEXANDRU Supervising Prescribing Practitioner Medical Doctor 133657 08/01/2021
BARLOW, RYAN THOMAS Supervising Prescribing Practitioner Medical Doctor 149752 07/26/2021
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 11/22/2022
BIGGS, FREDERICK SCOTT Supervising Prescribing Practitioner Physician Assistant 9103660 08/01/2021
BLACKMAN, ABIGAIL SHNITER Supervising Prescribing Practitioner Medical Doctor 127220 11/22/2022
BOLAND, KEVIN PATRICK Supervising Prescribing Practitioner Osteopathic Physician 12732 11/22/2022
BRATCHER, MONTEL FRABRECIO Supervising Prescribing Practitioner Medical Doctor 136544 07/29/2021
BRYAN, JENNIFER ANN ADAMS M D Supervising Prescribing Practitioner Medical Doctor 94013 08/26/2021
BUCHANAN, CURTIS BLAKE Supervising Prescribing Practitioner Medical Doctor 131632 11/22/2022
BULTRON-RODRIGUEZ, CRISTINA Supervising Prescribing Practitioner Medical Doctor 98867 11/22/2022
CHERIAN, LESLIE Supervising Prescribing Practitioner Osteopathic Physician 16969 11/22/2022
CHRISTEN, AUSTEN MICHAEL Supervising Prescribing Practitioner Medical Doctor 136668 11/22/2022
CHRYSTAL, SEAN ALLAN Supervising Prescribing Practitioner Osteopathic Physician 18317 11/22/2022
CIRILLO, LOUIS ANTHONY Supervising Prescribing Practitioner Medical Doctor 136104 11/22/2022
CONLEY, AMY RUBEN Supervising Prescribing Practitioner Medical Doctor 79991 11/22/2022
CROWE, DONALD W Supervising Prescribing Practitioner Medical Doctor 43726 11/22/2022
CUEVAS, DANIEL LIM Supervising Prescribing Practitioner Medical Doctor 129675 11/22/2022
D'AMBROSIO, ASHLEY JANE Supervising Prescribing Practitioner Medical Doctor 150911 11/22/2022
DAMIANO, THOMAS R Supervising Prescribing Practitioner Medical Doctor 147160 11/22/2022
DAWKINS, DONALD Supervising Prescribing Practitioner Osteopathic Physician 10160 11/22/2022
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 11/22/2022
DELK, GERALD TYREE Supervising Prescribing Practitioner Medical Doctor 153552 11/22/2022
DEWAN, VAIL LEE MD Supervising Prescribing Practitioner Medical Doctor 93083 11/22/2022
DIXON, MARK DALE MD Supervising Prescribing Practitioner Medical Doctor 63074 11/22/2022
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 11/22/2022
DONMEZER, AHMET Supervising Prescribing Practitioner Medical Doctor 105801 11/22/2022
ECHAGUE COLMAN, RAMON ANTONIO Supervising Prescribing Practitioner Medical Doctor 111476 08/01/2021
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 11/22/2022
FASIUDDIN, NAJAM Supervising Prescribing Practitioner Osteopathic Physician 15006 11/22/2022
FERNANDEZ, JOHN RUSSELL Supervising Prescribing Practitioner Medical Doctor 65400 08/02/2021
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 11/20/2022
FORTSON, SEAN JAMISON Supervising Prescribing Practitioner Osteopathic Physician 8702 11/23/2020
FRANCIS, JEFFREY Supervising Prescribing Practitioner Medical Doctor 155906 11/20/2022
FREELS, KEVIN Supervising Prescribing Practitioner Medical Doctor 131199 08/01/2021
FUCARINO, MATTHEW DANIEL Supervising Prescribing Practitioner Medical Doctor 110000 11/22/2022
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 11/22/2022
GOINS, DAVID SCOTT Supervising Prescribing Practitioner Physician Assistant 9102736 08/01/2021
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 11/22/2022
GRANT-LEVY, TATIA R DO Supervising Prescribing Practitioner Osteopathic Physician 7331 11/22/2022
HAMBRECHT, RUTH Supervising Prescribing Practitioner Medical Doctor 146079 11/22/2022
HANNA, RAAFAT MICHEL Supervising Prescribing Practitioner Medical Doctor 69412 11/22/2022
HART, CALEN GENE Supervising Prescribing Practitioner Medical Doctor 156116 11/22/2022
HASKINS, KERRY HUGH MD Supervising Prescribing Practitioner Medical Doctor 49468 11/22/2022
HLAVATY, HALEY DANIELLE Supervising Prescribing Practitioner Osteopathic Physician 16836 11/22/2022
HORSHAM, MEGAN Supervising Prescribing Practitioner Medical Doctor 157607 11/22/2022
HUGHES, MICHAEL Supervising Prescribing Practitioner Medical Doctor 156138 11/22/2022
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 11/20/2022
JASIMUDDIN, SHEIKH KHWAJA Supervising Prescribing Practitioner Medical Doctor 100463 08/01/2021
JEAN-FRANCOIS, JULIEN Supervising Prescribing Practitioner Medical Doctor 145041 11/20/2022
JUARBE, MARIFEL Supervising Prescribing Practitioner Medical Doctor 96542 11/20/2022
KAASHMIRI, MOHAMMED WAHEED MD Supervising Prescribing Practitioner Medical Doctor 118440 11/20/2022
KARAGEORGIADIS, ALEXANDER STEVEN Supervising Prescribing Practitioner Medical Doctor 136223 11/20/2022
KEPPLE, KIRSTEN LEANN Supervising Prescribing Practitioner Medical Doctor 150614 11/22/2022
KILPATRICK, ROBERT A M D Supervising Prescribing Practitioner Medical Doctor 120797 11/20/2022
KING, ROBYN Supervising Prescribing Practitioner Osteopathic Physician 15023 11/20/2022
KIRBY, SARA E Supervising Prescribing Practitioner Medical Doctor 113449 11/20/2022
KIRTZ, JEREMY FECHTER Supervising Prescribing Practitioner Medical Doctor 108993 11/20/2022
KURTZ-ARNOLD, ERIN LYNNE Supervising Prescribing Practitioner Osteopathic Physician 17431 11/20/2022
LACAYO BAEZ, MARCELO JOSE Supervising Prescribing Practitioner Medical Doctor 140238 11/20/2022
LALLY, ARLEEN ANN Supervising Prescribing Practitioner Osteopathic Physician 8845 11/20/2022
LAMEE, ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 17580 11/20/2022
LANCASTER, CHRISTINE BARONE Supervising Prescribing Practitioner Medical Doctor 95506 11/20/2022
LAND, LARRY LEE Supervising Prescribing Practitioner Medical Doctor 108914 11/20/2022
LEBLANC, LOUIS JOSEPH Supervising Prescribing Practitioner Medical Doctor 116958 11/20/2022
LEE, EUGENE C Supervising Prescribing Practitioner Medical Doctor 115521 11/20/2022
LEVI, JOSEPH IRA Supervising Prescribing Practitioner Osteopathic Physician 17631 11/20/2022
LIPSMEYER, CHRISTOPHER PAUL Supervising Prescribing Practitioner Medical Doctor 102475 08/01/2021
LISANKIE, MATTHEW JOSEPH II Supervising Prescribing Practitioner Medical Doctor 132249 11/20/2022
LOYD, ANNA MAE Supervising Prescribing Practitioner Osteopathic Physician 12492 11/20/2022
MADAR, MERCI GRACE Supervising Prescribing Practitioner Medical Doctor 117554 11/20/2022
MALAGON, BRITTANY FAYE Supervising Prescribing Practitioner Medical Doctor 140228 11/20/2022
MARAVEGIAS, ISMENE NINA Supervising Prescribing Practitioner Medical Doctor 85168 07/23/2021
MARGERUM, GAIL SHAW Supervising Prescribing Practitioner Medical Doctor 98283 11/20/2022
MARTINEZ, KAREN ANGELINA Supervising Prescribing Practitioner Medical Doctor 123473 11/20/2022
MARTINO, ELIZABETH Supervising Prescribing Practitioner Medical Doctor 140956 11/20/2022
MATHUR, MONAL PATEL Supervising Prescribing Practitioner Medical Doctor 101062 11/20/2022
MATHUR, RAJNEESH Supervising Prescribing Practitioner Osteopathic Physician 10264 11/20/2022
MAYOR-DAVIES, JUDY ANN Supervising Prescribing Practitioner Medical Doctor 73801 08/03/2021
MAYZ, KURTIS Supervising Prescribing Practitioner Medical Doctor 148675 11/20/2022
MCHALE, MICHAEL SHAMUS Supervising Prescribing Practitioner Osteopathic Physician 6360 07/23/2021
MCINTOSH, SAMANTHA ALEXINE Supervising Prescribing Practitioner Medical Doctor 145422 11/20/2022
MCKINLEY, GENEVIEVE Supervising Prescribing Practitioner Medical Doctor 140840 11/20/2022
MERRITT, RAYMOND LEE Supervising Prescribing Practitioner Osteopathic Physician 11538 11/20/2022
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 11/20/2022
MILLS, TYLER Supervising Prescribing Practitioner Osteopathic Physician 18796 11/20/2022
MITCHELL, CRAIG ROBERT MD Supervising Prescribing Practitioner Medical Doctor 102920 08/03/2021
MITCHELL, WILLIAM CLAY III Supervising Prescribing Practitioner Medical Doctor 129135 08/03/2021
NANAVATI, POOJA Supervising Prescribing Practitioner Medical Doctor 131540 11/20/2022
NAPPI, ALEX Supervising Prescribing Practitioner Medical Doctor 125466 11/20/2022
NEWMAN, ALISA JANELL Supervising Prescribing Practitioner Medical Doctor 146748 11/20/2022
OCHS, JEFFREY DWAYNE Supervising Prescribing Practitioner Physician Assistant 9106445 08/01/2021
ORTOLANI, MARK TIMOTHY Supervising Prescribing Practitioner Medical Doctor 156092 11/20/2022
PACHECO, AMANDA Supervising Prescribing Practitioner Osteopathic Physician 18694 11/20/2022
PAGAN-RIVERA, REY YAMIL Supervising Prescribing Practitioner Medical Doctor 134981 08/01/2021
PALIGA, ANDREW Supervising Prescribing Practitioner Medical Doctor 111562 11/20/2022
PARTYKA, BRONISLAW J Supervising Prescribing Practitioner Medical Doctor 114822 11/20/2022
PATCH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 132395 11/20/2022
PATEL, SUMIT SUNIL Supervising Prescribing Practitioner Medical Doctor 135844 09/23/2021
PEPE, JOSEPH JR Supervising Prescribing Practitioner Osteopathic Physician 16193 11/20/2022
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 08/18/2021
PRUITT, JAMES ALLEN Supervising Prescribing Practitioner Medical Doctor 142076 08/01/2021
RETTIG, NICOLE ABDO Supervising Prescribing Practitioner Medical Doctor 148575 11/22/2022
SANTIAGO-APONTE, RAFAEL A Supervising Prescribing Practitioner Medical Doctor 114771 08/16/2021
SAVANI, PARESH D MD Supervising Prescribing Practitioner Medical Doctor 95295 09/21/2021
SHAPIRO, LAUREN Supervising Prescribing Practitioner Medical Doctor 149050 07/01/2021
SHARMA, MIRAND REEB Supervising Prescribing Practitioner Medical Doctor 82852 07/23/2021
SZETO, LIAN Supervising Prescribing Practitioner Physician Assistant 9108169 08/03/2021
VELASCO, ANDRES FELIPE Supervising Prescribing Practitioner Medical Doctor 96936 08/01/2021
VELASCO, RODRIGO ERNESTO Supervising Prescribing Practitioner Medical Doctor 136030 08/03/2021
WEAVER, LEAH DARE Supervising Prescribing Practitioner Physician Assistant 9103804 08/01/2021

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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 5/19/2024



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