License Verification

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TRACY A FENN

License Number: PA3335

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA3335
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/27/1997
Address of Record
1210 S. OLD DIXIE HWY
JUPITER, FL 33458
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1800 SE Tiffany Avenue St. Lucie Medical Center
FORT PIERCE, FL 34952
Address
1210 S. OLD DIXIE HWY JUPITER MEDICAL CENTER
JUPITER, FL 33458
Address
1800 SE Tiffany Ave
PORT SAINT LUCIE, FL 34952
Name Relationship Profession License Effective Date
ALLISON, TIMOTHY BRUCE Supervising Prescribing Practitioner Medical Doctor 70812 08/05/2013
INGEMAN, JEFFREY EDWARD MD Supervising Prescribing Practitioner Medical Doctor 66023 08/20/2019
MATHAI, JOSEPHIN K D O Supervising Prescribing Practitioner Osteopathic Physician 11192 11/01/2012
MUENCHEN, CHRISTOPHER CHARLES MD Supervising Prescribing Practitioner Medical Doctor 96630 11/01/2012

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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.