License Verification

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BENJAMIN BANAPOOR

License Number: ME156442

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME156442
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/22/2022
Address of Record
2627 West Eau Gaille Blvd.
Suite 101
MELBOURNE, FL 32935
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

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Name Relationship Profession License Effective Date
BO, KIRSTEN LEIGH Prescribing Physician Assistant Physician Assistant 9104713 10/25/2022
BOWMAN, KELLEY FRANCES Prescribing Physician Assistant Physician Assistant 9104618 11/1/2022
CALLAHAN, KYLE JONATHAN Prescribing Physician Assistant Physician Assistant 9109286 11/1/2022
DEVAUX, MIKAELA ELISE Prescribing Physician Assistant Medical Doctor 130853 12/1/2022
GRAHAM-LEVY, HALCIAN L Prescribing Physician Assistant Physician Assistant 9103552 11/1/2022
HAGLER, SARA VIRGINIA Prescribing Physician Assistant Physician Assistant 9103008 11/1/2022
JONES, ZOE Prescribing Physician Assistant Physician Assistant 9117967 9/9/2024
MADELON, DEBORAH Prescribing Physician Assistant Physician Assistant 9117704 2/19/2024
MAHON, BENJAMIN MICHAEL Prescribing Physician Assistant Medical Doctor 114305 11/1/2022
MATEY, JENNIFER LYNN Prescribing Physician Assistant Physician Assistant 9108982 8/31/2023
MEGREGIAN, LINDSEY MARKS Prescribing Physician Assistant Physician Assistant 9106660 10/25/2022
MICHAELMAN, GWENDOLYN BRUCH Prescribing Physician Assistant Physician Assistant 9104166 10/25/2022
PETERSON, JAYME MICHELLE Prescribing Physician Assistant Physician Assistant 9103306 10/25/2022
RODRIGUEZ, SUSELY CAROLINA Prescribing Physician Assistant Physician Assistant 9115448 10/6/2022
SANDER, ANDREW THOMAS Prescribing Physician Assistant Physician Assistant 9104502 10/25/2022
SPENCER, DANIEL PATRICK Prescribing Physician Assistant Physician Assistant 9115047 9/9/2024
TURK, ADAM SCOTT Prescribing Physician Assistant Physician Assistant 9106810 10/26/2022
VAN HEMEL, ELIZABETH ANNE Prescribing Physician Assistant Physician Assistant 3575 10/26/2022
VEGA, JOSE' M Prescribing Physician Assistant Physician Assistant 2245 10/28/2022

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 11/22/2024



* 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.