License Verification

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JUSTIN PAUL HAWK

License Number: PA9114696

Data As Of 11/23/2024

Profession
Physician Assistant
License
PA9114696
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/14/2021
Address of Record
PBOI - Palm Beach Gardens
4215 Burns Road
Suite 100
PALM BEACH GARDENS, FL 33410
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
PBOI - Jupiter 2055 Military Trail Suite 200
JUPITER, FL 33458
Address
Jupiter Medical Center 1210 S Old Dixie Hwy
JUPITER, FL 33458
Address
Palm Beach Surgical Suites 4215 Burns Road Suite 150
PALM BEACH GARDENS, FL 33410
Address
PBG Medical Center 3360 Burns Road
PALM BEACH GARDENS, FL 33410
Name Relationship Profession License Effective Date
FOWBLE, VINCENT ALLEN Supervising Prescribing Practitioner Medical Doctor 94144 08/01/2021
NOBLE, ANDREW RAYMOND Supervising Prescribing Practitioner Medical Doctor 108001 02/13/2023

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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 11/23/2024



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** 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.


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