License Verification

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AMANDA MICHAUD

License Number: PA9114562

Data As Of 4/29/2025

Profession
Physician Assistant
License
PA9114562
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2021
Address of Record
4123 University Blvd S
Ste B
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
12276 San Jose Blvd Suite 609
JACKSONVILLE, FL 32223
Address
1406 Kinsley Avenue Suite D
ORANGE PARK, FL 32073
Address
135 Professional Drive Suite 106
PONTE VEDRA BEACH, FL 32082
Address
1727 Blanding Blvd Suite 101
JACKSONVILLE, FL 32210
Name Relationship Profession License Effective Date
DORMAN, STEVE M JR Supervising Prescribing Practitioner Medical Doctor 127439 07/01/2021
JOSHI, SUNIL NALIN Supervising Prescribing Practitioner Medical Doctor 79099 07/01/2021
KATZ, HARY TODD Supervising Prescribing Practitioner Medical Doctor 88948 07/01/2021

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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 4/29/2025



* 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.