License Verification

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SAMANTHA KATE TIMM

License Number: PA9112812

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9112812
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/04/2019
Address of Record
1000 Baptist Hospital
123 Baptist Way
PENSACOLA, FL 32503
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
North Okaloosa Medical Center 151 E Redstone Ave
CRESTVIEW, FL 32539
Address
1110 Gulf Breeze Hospital 1110 Gulf Breeze Parkway
GULF BREEZE, FL 32561
Name Relationship Profession License Effective Date
ABDELSALAM, ALMATMED H MOHAMED Supervising Prescribing Practitioner Medical Doctor 129683 07/20/2023
ADUGNA, MICHAEL GEREMEW Supervising Prescribing Practitioner Medical Doctor 165088 02/13/2024
BICKFORD, BRANT WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 19279 07/13/2023
BROWN, ELLENMARIE ZWANK Supervising Prescribing Practitioner Medical Doctor 152561 07/20/2023
BUMP, JARED MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 17380 07/13/2023
CLIFFORD, GAIL LISA Supervising Prescribing Practitioner Medical Doctor 165085 10/19/2023
CRUZ, JULIO Supervising Prescribing Practitioner Medical Doctor 136368 09/08/2022
DIAZ, JOSE IGNACIO Supervising Prescribing Practitioner Medical Doctor 60262 09/29/2021
DONCHEY, STEVEN SCOTT MD Supervising Prescribing Practitioner Medical Doctor 60265 09/29/2021
DUCLOS, MARTIN ARTHUR Supervising Prescribing Practitioner Medical Doctor 147326 09/27/2021
EISA, EMAD AHMEDMOHAMED Supervising Prescribing Practitioner Medical Doctor 114732 07/10/2024
ELLER, NICOLE M Supervising Prescribing Practitioner Osteopathic Physician 12944 09/29/2021
HAZEN, BRENT PHILIP Supervising Prescribing Practitioner Medical Doctor 114426 09/27/2021
KHAN, IQTIDAR Supervising Prescribing Practitioner Medical Doctor 165094 02/13/2024
MOYLES, SHAYNE NICOLE Supervising Prescribing Practitioner Osteopathic Physician 9968 09/05/2022
NORDIKE, MATTHEW LEWIS Supervising Prescribing Practitioner Osteopathic Physician 17928 04/19/2024
NORMAN, MICHAEL TRENT Supervising Prescribing Practitioner Osteopathic Physician 15854 09/29/2021
OKPOKPO, ENOEMEM MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 17819 09/05/2022
OLASUNKANMI, TOLULOPE MATHIAS Supervising Prescribing Practitioner Medical Doctor 130642 07/13/2023
PANWAR BARNES, MONICA Supervising Prescribing Practitioner Medical Doctor 124698 10/21/2022
PRIYAMPOLSKIY, GARRI Supervising Prescribing Practitioner Medical Doctor 163421 08/01/2023
REID, AMBER Supervising Prescribing Practitioner Osteopathic Physician 18717 02/13/2024
SANSBURY, LAURIE POWERS JR Supervising Prescribing Practitioner Osteopathic Physician 11621 09/27/2021
SEARCY-SCHNAEIDR, JHONSTANLEY D Supervising Prescribing Practitioner Osteopathic Physician 12024 09/13/2023
SOMESAN, ANDY Supervising Prescribing Practitioner Medical Doctor 79362 09/28/2021
STAHURA, ALEX Supervising Prescribing Practitioner Osteopathic Physician 19026 09/02/2022
STRITTMATTER, MADELINE Supervising Prescribing Practitioner Osteopathic Physician 16746 07/13/2023
THIGPEN, R LEE MD Supervising Prescribing Practitioner Medical Doctor 46821 09/15/2021
VANDO PEDROSA, ALEJANDRO DAVID Supervising Prescribing Practitioner Medical Doctor 157594 07/19/2024
WAYAL, VINAY MAHADEO Supervising Prescribing Practitioner Medical Doctor 122091 09/28/2021

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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 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.