License Verification

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KATRINA POTITHAVORANANT

License Number: PA9112237

Data As Of 4/25/2025

Profession
Physician Assistant
License
PA9112237
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/13/2019
Address of Record
BayCare Medical Group
Family Practice
620 10th Street North, Suite 1E
SAINT PETERSBURG, FL 33705
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
AMIN, KUNAL V Supervising Prescribing Practitioner Medical Doctor 113101 01/24/2020
ESPOSITO, CARLY Supervising Prescribing Practitioner Medical Doctor 164039 09/09/2024
GRUJIC, ZORANA Supervising Prescribing Practitioner Medical Doctor 147734 07/15/2024
KIM, ANGELA Supervising Prescribing Practitioner Osteopathic Physician 20164 09/25/2023
NELSON, CORY FLYNN Supervising Prescribing Practitioner Medical Doctor 125679 01/24/2020
RAMBICURE, BENJAMIN Supervising Prescribing Practitioner Medical Doctor 131237 06/24/2022

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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 4/25/2025



* 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.