License Verification

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KELLY CAMPBELL OWENS

License Number: PA9111980

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9111980
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/17/2019
Address of Record
1223 Gateway Dr Suite 1E
MELBOURNE, FL 32901
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
ARMISTEAD, SHANNON ASHLEY Supervising Prescribing Practitioner Osteopathic Physician 17110 08/13/2021
BARABAS, ALEXANDRU Supervising Prescribing Practitioner Medical Doctor 133657 07/01/2021
BEATTY, ROBERT PATRICK Supervising Prescribing Practitioner Medical Doctor 97579 08/13/2021
BRYAN, JENNIFER ANN ADAMS M D Supervising Prescribing Practitioner Medical Doctor 94013 07/01/2021
FREELS, KEVIN Supervising Prescribing Practitioner Medical Doctor 131199 02/08/2021
GLAZER, KELLY SYLVIA Supervising Prescribing Practitioner Medical Doctor 149363 08/13/2021
HESSION, RORY ORLANT Supervising Prescribing Practitioner Medical Doctor 87577 08/01/2021
HILL, DUSTIN NICOLAS Supervising Prescribing Practitioner Medical Doctor 137031 07/24/2021
MITCHELL, WILLIAM CLAY III Supervising Prescribing Practitioner Medical Doctor 129135 07/01/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/01/2021
PATEL, CHETAN R Supervising Prescribing Practitioner Medical Doctor 143328 07/01/2021
PATEL, SUMIT SUNIL Supervising Prescribing Practitioner Medical Doctor 135844 07/01/2021
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 07/01/2021
ROTONDO, JOHN ANTHONY Supervising Prescribing Practitioner Medical Doctor 149211 10/24/2021
SAVANI, PARESH D MD Supervising Prescribing Practitioner Medical Doctor 95295 07/01/2021
TINNEY, MATTHEW C Supervising Dispensing Practitioner Osteopathic Physician 10663 10/13/2020
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 08/01/2021
WEAVER, LEAH DARE Supervising Prescribing Practitioner Physician Assistant 9103804 08/01/2021

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
CONDE, NATALIE E Prescribing Physician Assistant Physician Assistant 9105106 8/1/2021
NUNEZ-CUBILLAS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101680 8/1/2021

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.