License Verification

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KATIE KNIGHT WATERS

License Number: PA9112252

Data As Of 4/30/2025

Profession
Physician Assistant
License
PA9112252
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/21/2019
Address of Record
Cancer Specialists of North FL
5742 Booth Rd Suite A
JACKSONVILLE, FL 32207
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
12984 Chets Creek Drive N
JACKSONVILLE, FL 32224
Address
7015 AC Skinner Pkwy Suite 1
JACKSONVILLE, FL 32218
Name Relationship Profession License Effective Date
ABUBAKR, YOUSIF AHMED ALI MD Supervising Dispensing Practitioner Medical Doctor 70677 11/07/2024
ABUBAKR, YOUSIF AHMED ALI MD Supervising Prescribing Practitioner Medical Doctor 70677 11/07/2024
AL-MANSOUR, ZEINA Supervising Prescribing Practitioner Medical Doctor 144167 10/11/2021
BROWN, RANDALL ARCH MD Supervising Prescribing Practitioner Medical Doctor 103696 10/11/2021
COGLE, CHRISTOPHER RAMIN Supervising Prescribing Practitioner Medical Doctor 76840 10/11/2021
DEAN, ERIN ALEXIS Supervising Prescribing Practitioner Medical Doctor 132627 10/11/2021
FARHADFAR, NOSHA Supervising Prescribing Practitioner Medical Doctor 128403 10/11/2021
HIEMENZ, JOHN W Supervising Prescribing Practitioner Medical Doctor 41865 10/11/2021
HSU, JACK WEI JYE Supervising Prescribing Practitioner Medical Doctor 97921 10/11/2021
WINGARD, JOHN REID MD Supervising Prescribing Practitioner Medical Doctor 74483 10/11/2021

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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 4/30/2025



* 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.