License Verification

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SAMANTHA LEIGH MARTIN

License Number: PA9113333

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9113333
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/01/2020
Address of Record
Lakeland Regional Health
1324 Lakeland Hills Blvd
LAKELAND, FL 33805
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, JONATHAN OSBORNE Supervising Prescribing Practitioner Medical Doctor 111888 09/08/2020
AREGOOD, JENNIFER JOY Supervising Prescribing Practitioner Medical Doctor 116318 09/17/2020
ARREDONDO, COREY CUMBIE Supervising Prescribing Practitioner Medical Doctor 85016 09/08/2020
BANERJEE, PUSHPAL R Supervising Prescribing Practitioner Osteopathic Physician 8141 08/01/2021
BEACH, KEVIN RICHARD Supervising Prescribing Practitioner Medical Doctor 107000 09/08/2020
BHISITKUL, DONNA MARIE Supervising Prescribing Practitioner Medical Doctor 70258 10/06/2020
BLIND, FRED JOSEPH Supervising Prescribing Practitioner Medical Doctor 99282 09/08/2020
BRAR, SARDUL SINGH MD Supervising Prescribing Practitioner Medical Doctor 48371 10/02/2020
BUTZ, ABRAHAM F Supervising Prescribing Practitioner Medical Doctor 102668 09/08/2020
CHUNG, CHARLES R Supervising Prescribing Practitioner Medical Doctor 99441 09/08/2020
COKER, PHILLIP RYAN Supervising Prescribing Practitioner Medical Doctor 122260 09/08/2020
DE LOS SANTOS, JESSE Supervising Prescribing Practitioner Medical Doctor 112913 09/08/2020
DELEON, JASON Supervising Prescribing Practitioner Medical Doctor 122537 10/09/2020
DUBEY, JESSE VINCENT Supervising Prescribing Practitioner Osteopathic Physician 13099 09/08/2020
ESCOWITZ, HAL ETHAN Supervising Prescribing Practitioner Medical Doctor 81690 09/21/2020
FAWSETT, CHARLES ROBINSON II Supervising Prescribing Practitioner Medical Doctor 112904 09/24/2020
FISHER, ROSE MARIE Supervising Prescribing Practitioner Osteopathic Physician 6698 10/01/2020
GILLESPIE, RITA MARGARET MARY Supervising Prescribing Practitioner Osteopathic Physician 13077 09/24/2020
GLUECK, JESSE Supervising Prescribing Practitioner Medical Doctor 136392 09/24/2020
GUGGINO, STEVEN ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 83061 09/20/2020
HABER, TODD SETH Supervising Prescribing Practitioner Medical Doctor 57935 09/10/2020
HANEY, MARISA LIANA Supervising Prescribing Practitioner Medical Doctor 106073 09/20/2020
KARP, JULIANA Supervising Prescribing Practitioner Medical Doctor 64823 09/24/2020
LINDENBLAD, ERIC HAMILTON Supervising Prescribing Practitioner Medical Doctor 43429 09/14/2020
LONGO, JENNIFER ANN Supervising Prescribing Practitioner Medical Doctor 113332 09/01/2020
MARICHAL, JOSE L MD Supervising Prescribing Practitioner Medical Doctor 21830 09/30/2020
MCFARLAND, MICHAEL SCOTT Supervising Prescribing Practitioner Medical Doctor 99023 10/02/2020
MCGLINN, SEAN PATRICK D O Supervising Prescribing Practitioner Osteopathic Physician 9846 09/08/2020
MCKEE, KRISTIN CORY Supervising Prescribing Practitioner Osteopathic Physician 12083 09/08/2020
MELTON, JAMES DAVID III Supervising Prescribing Practitioner Medical Doctor 52100 09/30/2020
MEMON, SUMERA HAROON Supervising Prescribing Practitioner Osteopathic Physician 11668 09/24/2020
OLDANO, KAREN THOMAS Supervising Prescribing Practitioner Osteopathic Physician 6570 09/24/2020
PATEL, TEJAS Supervising Prescribing Practitioner Osteopathic Physician 13790 09/08/2020
PAYOR, AUSTIN DANIEL Supervising Prescribing Practitioner Osteopathic Physician 10925 09/09/2020
REDDEN, DANYELLE ANN Supervising Prescribing Practitioner Medical Doctor 110215 09/23/2020
REEBER, CLIFF BENJAMIN Supervising Prescribing Practitioner Medical Doctor 73869 09/24/2020
REGAN, TIMOTHY JOHN Supervising Prescribing Practitioner Medical Doctor 94162 09/18/2020
RHODES, DAVID JOSEPH Supervising Prescribing Practitioner Medical Doctor 106826 09/18/2020
RODGERS, CHRISTOPHER NEILTON MD Supervising Prescribing Practitioner Medical Doctor 99231 09/24/2020
RODRIGUEZ, VASHUN APONTE Supervising Prescribing Practitioner Medical Doctor 104068 09/23/2020
ROLA, ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 8833 09/08/2020
SALAZAR, MANUEL MAURICIO Supervising Prescribing Practitioner Medical Doctor 36859 09/08/2020
SANTIAGO, RAFAEL Supervising Prescribing Practitioner Medical Doctor 90335 09/15/2020
SCHILLINGER, MATTHEW Supervising Prescribing Practitioner Osteopathic Physician 9191 09/08/2020
SMITH, DAVID JAMES Supervising Prescribing Practitioner Osteopathic Physician 9167 09/23/2020
SUEN, ANDREA CATHERINE Supervising Prescribing Practitioner Medical Doctor 116964 10/02/2020
TICKETT, SHELLEY SMITH Supervising Prescribing Practitioner Medical Doctor 90313 10/01/2020
VISRAM, FARID NIZARALI Supervising Prescribing Practitioner Medical Doctor 95308 09/24/2020
VYTYKAC, ADAM Supervising Prescribing Practitioner Medical Doctor 115497 09/24/2020
YICK, ANDREW VAN Supervising Prescribing Practitioner Medical Doctor 109669 09/09/2020

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



* 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.