License Verification

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AMY HELEN WILEY

License Number: PA9111747

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9111747
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/16/2018
Address of Record
214 STILLWATER RD
FREEPORT
FREEPORT, FL 32439
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
ACOSTA, DAYANIS M Supervising Prescribing Practitioner Osteopathic Physician 15879 03/01/2023
AJIT, MALVINDER SINGH Supervising Prescribing Practitioner Medical Doctor 76922 06/02/2022
ALI, MOHAMED SYAD Supervising Prescribing Practitioner Physician Assistant 9104732 10/01/2023
ALLMAN, JEFFREY WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 9007 07/19/2023
ANILUS, VESTA Supervising Prescribing Practitioner Medical Doctor 127023 05/14/2022
ARBUCKLE, SEAN SR Supervising Prescribing Practitioner Osteopathic Physician 11132 04/13/2022
ARNOLD, CASEY Supervising Prescribing Practitioner Medical Doctor 135552 07/07/2022
BERMAN, BRIAN L Supervising Prescribing Practitioner Medical Doctor 110013 03/07/2023
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 07/25/2022
BERRY, SHANNON GAYLE Supervising Prescribing Practitioner Medical Doctor 152055 06/17/2021
BISHAWI, MARAM MOUSA Supervising Prescribing Practitioner Osteopathic Physician 17004 05/16/2022
BOCCIO, RICHARD J Supervising Prescribing Practitioner Medical Doctor 148699 04/13/2022
BOLTON, TONYA AMBER Supervising Prescribing Practitioner Osteopathic Physician 11846 05/28/2022
BORUP, MIKEL ELIAS Supervising Prescribing Practitioner Osteopathic Physician 16398 07/29/2021
BRADLEY, REBECCA Supervising Prescribing Practitioner Medical Doctor 147611 01/10/2024
CALABRO, JAMES A Supervising Prescribing Practitioner Medical Doctor 102305 03/07/2023
CASANOVA, JUDITH Supervising Prescribing Practitioner Physician Assistant 9105079 06/05/2022
CONKLIN JR, JOSEPH EARL Supervising Prescribing Practitioner Medical Doctor 163761 11/06/2023
COOK, DARREN LEE Supervising Prescribing Practitioner Osteopathic Physician 5856 07/28/2021
CREMIN, STEPHEN MICHAEL Supervising Prescribing Practitioner Medical Doctor 82844 04/13/2022
CRINER, ROGER D JR Supervising Prescribing Practitioner Medical Doctor 114331 06/21/2021
CUPO, WILLIAM WALTER MD Supervising Prescribing Practitioner Medical Doctor 86389 09/14/2022
DEFREITAS, CHRISTOPHER ALIX Supervising Prescribing Practitioner Medical Doctor 139679 02/01/2023
DEL ROSARIO, CAELYN MARI C Supervising Prescribing Practitioner Medical Doctor 148537 04/22/2022
DUERR, KARL MICHAEL Supervising Prescribing Practitioner Medical Doctor 151983 07/28/2021
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 09/09/2021
EISNOR, DEREK LEE Supervising Prescribing Practitioner Medical Doctor 74231 07/06/2023
EMER, JASON JOEL Supervising Prescribing Practitioner Medical Doctor 128633 07/09/2021
GEORGE, MATTHEW Supervising Prescribing Practitioner Medical Doctor 164808 10/12/2023
GIASI, PAUL CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 115774 10/01/2023
GUILLORY, BLAKE II Supervising Prescribing Practitioner Osteopathic Physician 16396 11/28/2023
HAMPTON, ZACHARY EDWARD Supervising Prescribing Practitioner Osteopathic Physician 18067 07/13/2023
HARVEY, KYLE Supervising Prescribing Practitioner Medical Doctor 158195 07/19/2023
HAVYARIMANA, JUVENAL Supervising Prescribing Practitioner Medical Doctor 138597 03/13/2022
HINSHELWOOD, HEATHER LYN Supervising Prescribing Practitioner Medical Doctor 102798 07/09/2021
HOBLEY, KENLYN JEAN Supervising Prescribing Practitioner Medical Doctor 110123 05/08/2022
HUQ, ZAHIN MUSAWER Supervising Prescribing Practitioner Medical Doctor 155168 07/08/2022
HWANG, CHARLES WILLIAM JR Supervising Prescribing Practitioner Medical Doctor 126436 07/13/2023
JONES, JONATHAN E Supervising Prescribing Practitioner Medical Doctor 108942 02/12/2024
KEMERER, JOHN JOSEPH D O Supervising Prescribing Practitioner Osteopathic Physician 14998 05/19/2022
KINSEY, DANIELLE MARIA Supervising Prescribing Practitioner Physician Assistant 9103937 10/25/2023
KOERTNER, ADAM Supervising Prescribing Practitioner Medical Doctor 157233 08/16/2023
LATHAM, JOSHUA LUKE DO Supervising Prescribing Practitioner Osteopathic Physician 10027 07/09/2021
LITTMAN, NICHOLAS Supervising Prescribing Practitioner Medical Doctor 151791 10/11/2022
LOOMIS, ANDREW TROY Supervising Prescribing Practitioner Medical Doctor 160133 08/31/2023
LUKACSA, THOMAS DAVID Supervising Prescribing Practitioner Physician Assistant 9104358 02/26/2024
MARIN, JOHNNATAN Supervising Prescribing Practitioner Medical Doctor 156427 07/27/2023
MARKEL, JORDAN BROOKS Supervising Prescribing Practitioner Medical Doctor 152577 11/01/2023
MARTIN, CHRISTOPHER THOMAS Supervising Prescribing Practitioner Medical Doctor 130500 03/07/2022
MATTEUZZI, KATIE LOU Supervising Prescribing Practitioner Osteopathic Physician 19359 02/13/2024
MCNEIL, MEGAN IONE Supervising Prescribing Practitioner Medical Doctor 129689 05/02/2021
MEIS, DANIEL ROBERT Supervising Prescribing Practitioner Osteopathic Physician 19686 07/13/2023
MELANCON, ERIC EUGENE Supervising Prescribing Practitioner Medical Doctor 150172 07/02/2021
MILLER, ALAN S Supervising Prescribing Practitioner Medical Doctor 124517 03/07/2022
MILYAVSKY, DANIEL Supervising Prescribing Practitioner Medical Doctor 155177 07/06/2022
MOHAMMADIEH, AHMAD Supervising Prescribing Practitioner Medical Doctor 134693 04/13/2022
MULLIS, BARON THAXTON Supervising Prescribing Practitioner Medical Doctor 113789 07/02/2021
NOGGLE, TOMMY STEVEN MD Supervising Prescribing Practitioner Medical Doctor 93880 06/01/2021
NUCHERENO, ANTHONY RICHARD Supervising Prescribing Practitioner Osteopathic Physician 17869 07/26/2023
OWEN, STEPHANIE LEANN Supervising Prescribing Practitioner Medical Doctor 127333 07/09/2021
PATEL, JAIMIN BALWANT M D Supervising Prescribing Practitioner Medical Doctor 104797 09/22/2023
PICKETT, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 124561 03/07/2022
PORTER, JAYCE Supervising Prescribing Practitioner Osteopathic Physician 16341 07/28/2021
PUCHI, LUIS ALBERTO Supervising Prescribing Practitioner Medical Doctor 152136 03/01/2023
RASIWALA, AZIMA Supervising Prescribing Practitioner Osteopathic Physician 18254 01/03/2022
RAVAL, HITESH Supervising Prescribing Practitioner Osteopathic Physician 13266 03/07/2022
REDFIELD, COLBY SCOTT Supervising Prescribing Practitioner Medical Doctor 126222 05/15/2023
RIZZUTO, WILLIAM THOMAS Supervising Prescribing Practitioner Medical Doctor 161389 07/13/2023
ROZWADOWSKI, THOMAS JOSEPH MD Supervising Prescribing Practitioner Medical Doctor 100274 04/13/2022
RUTH, ROBERT ALLAN Supervising Prescribing Practitioner Medical Doctor 74008 08/01/2023
SANTANA, JOSE ANTONIO Supervising Prescribing Practitioner Medical Doctor 95767 03/01/2022
SCHREIBER, MICHAEL L Supervising Prescribing Practitioner Osteopathic Physician 11106 01/31/2024
SHEA, JILL MARIE Supervising Prescribing Practitioner Medical Doctor 136840 07/24/2023
SKINNER, CHASTITY FOWLER Supervising Prescribing Practitioner Osteopathic Physician 13923 03/07/2023
SPURLOCK, RICHARD GLENN Supervising Prescribing Practitioner Medical Doctor 154944 06/05/2022
STANTON, ZACHARY Supervising Prescribing Practitioner Osteopathic Physician 18142 07/14/2022
SUJAKUMAR, RAVISHANKER VILLAFLOR Supervising Prescribing Practitioner Osteopathic Physician 14228 07/25/2023
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 04/13/2022
THOMPSON, TOMMY GLEN II Supervising Prescribing Practitioner Medical Doctor 128635 07/09/2021
TIDWELL, CHRISTOPHER WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16301 03/01/2022
TRZASKOMA, MEGAN Supervising Prescribing Practitioner Osteopathic Physician 16206 05/04/2022
VELASQUEZ, JOHN THOMAS Supervising Prescribing Practitioner Medical Doctor 127402 03/01/2022
WALKER, ROBERT KENNETH Supervising Prescribing Practitioner Medical Doctor 163903 07/26/2023
WALKER, TIMOTHY WOODFIN Supervising Prescribing Practitioner Medical Doctor 51072 06/30/2022
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 06/08/2022
WEST, KERRI ELESE Supervising Prescribing Practitioner Osteopathic Physician 18404 10/20/2021
WESTBROOK, JAMES WESLEY Supervising Prescribing Practitioner Medical Doctor 146630 07/09/2021
WHITE, MOLLY ADDISON Supervising Prescribing Practitioner Medical Doctor 87911 07/02/2022
WIEGERS, EDWARD III Supervising Prescribing Practitioner Osteopathic Physician 14844 03/07/2023
YASAVOLIAN, MATTHEW Supervising Prescribing Practitioner Medical Doctor 137626 03/01/2022
ZARRAGA, JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 17937 03/13/2023
ZERVOS, AARON-NICKOLAOS Supervising Prescribing Practitioner Osteopathic Physician 18055 01/04/2024

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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



* 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.