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KATIE LOU MATTEUZZI

License Number: OS19359

Data As Of 11/21/2024

Profession
Osteopathic Physician
License
OS19359
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
10/04/2022
Address of Record
109 Arrowpoint Cv
VALPARAISO, FL 32580
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

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
BERRY, SHANNON GAYLE Prescribing Physician Assistant Medical Doctor 152055 2/13/2024
BULLMAN, JONATHAN FAIN Prescribing Physician Assistant Physician Assistant 9107709 2/13/2024
GANDHI, HARMISHA Prescribing Physician Assistant Physician Assistant 9118435 4/21/2024
MULLIS, BARON THAXTON Prescribing Physician Assistant Medical Doctor 113789 2/13/2024
PATEL, JAIMIN BALWANT M D Prescribing Physician Assistant Medical Doctor 104797 2/13/2024
ROMAN, JULIE Prescribing Physician Assistant Physician Assistant 9111426 2/13/2024
SAMSON, JESSICA AURELIO Prescribing Physician Assistant Physician Assistant 9103076 2/13/2024
SIMMONS, LEONARD WILLIAM Prescribing Physician Assistant Physician Assistant 9103209 2/13/2024
THOMPSON, TOMMY GLEN II Prescribing Physician Assistant Medical Doctor 128635 2/13/2024
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 2/13/2024

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* 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.