License Verification

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WILLIAM KIRBY EDGE

License Number: PA3029

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA3029
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/16/1996
Address of Record
901 45th Street
St Mary's Medical Center
WEST PALM BCH, FL 33407
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
ANDERSON, APRIL LAUREN MD Supervising Prescribing Practitioner Medical Doctor 105130 05/16/2022
BADACH, SARAH JANE Supervising Prescribing Practitioner Osteopathic Physician 17592 06/01/2023
BORMAN, LAURA Supervising Prescribing Practitioner Medical Doctor 136395 05/16/2022
BROMBERG, ADAM M Supervising Prescribing Practitioner Medical Doctor 100188 06/09/2022
DUNLAP, KRISTEN JEAN M D Supervising Prescribing Practitioner Medical Doctor 122435 05/16/2022
DVOR, NATHAN Supervising Prescribing Practitioner Medical Doctor 141456 05/16/2022
ESTRINE, KAREN MICHELLE Supervising Prescribing Practitioner Osteopathic Physician 10867 05/16/2022
FLETCHER, STEFFEN HASBROUCK Supervising Prescribing Practitioner Medical Doctor 100208 05/16/2022
GARRETT, BRIANNA LYNNE Supervising Prescribing Practitioner Medical Doctor 104197 05/16/2022
GERSOWSKY, DANNY BEN Supervising Prescribing Practitioner Osteopathic Physician 21078 07/18/2024
GONZALEZ, JOSE M MD Supervising Prescribing Practitioner Medical Doctor 70122 05/16/2022
GOODHUE, BRIAN Supervising Prescribing Practitioner Osteopathic Physician 16414 02/21/2023
GRABER, MYLISSA AMY Supervising Prescribing Practitioner Medical Doctor 82335 09/20/2016
HARTNETT, DAVID Supervising Prescribing Practitioner Medical Doctor 152121 01/27/2024
HATOUM, ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 143175 05/01/2023
LEVY, BRIAN EDWARD Supervising Prescribing Practitioner Medical Doctor 155132 08/15/2023
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 05/16/2022
MORAES, BRUNO Supervising Prescribing Practitioner Osteopathic Physician 19368 11/02/2023
PAPAZIAN, KATHLEEN IVY Supervising Prescribing Practitioner Osteopathic Physician 18744 05/15/2023
PETERSON, THOMAS REX Supervising Prescribing Practitioner Osteopathic Physician 18616 08/29/2022
POPOVETSKY, GARY Supervising Prescribing Practitioner Osteopathic Physician 11198 05/16/2022
POSAW, LEILA LATIKA Supervising Prescribing Practitioner Medical Doctor 76137 05/16/2022
RABOLLI, JULIA Supervising Prescribing Practitioner Osteopathic Physician 15707 04/03/2023
ROBERTS, KENNETH WAYNE Supervising Prescribing Practitioner Medical Doctor 153623 04/05/2024
RODRIGUEZ, FRANCES Supervising Prescribing Practitioner Medical Doctor 63807 05/16/2022
STEIN, LAUREN COURTNEY DO Supervising Prescribing Practitioner Osteopathic Physician 13110 05/16/2022
TAYLOR, KEVIN LEE Supervising Prescribing Practitioner Medical Doctor 116337 05/16/2022
VARGAS, DAMARIS B Supervising Prescribing Practitioner Osteopathic Physician 10078 05/16/2022
WINOGRAD, JONATHAN ISAAC Supervising Prescribing Practitioner Osteopathic Physician 12008 05/16/2022
ZACHARY, CORINNE M D Supervising Prescribing Practitioner Medical Doctor 77674 05/16/2022
ZIMMERMAN, ETHAN DUANE Supervising Prescribing Practitioner Osteopathic Physician 17256 06/27/2023

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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 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.