License Verification

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ELEANOR KATHERINE THEOBALD

License Number: PA9116006

Data As Of 2/6/2025

Profession
Physician Assistant
License
PA9116006
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/31/2022
Address of Record
1010 S Federal Hwy
Ste 1010
DELRAY BEACH, FL 33483
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1501 SE 17th St Causeway
FORT LAUDERDALE, FL 33316
Name Relationship Profession License Effective Date
CRANE, DANIEL PAUL Supervising Prescribing Practitioner Medical Doctor 150540 10/24/2022
GOODWIN, MATTHEW D MD Supervising Prescribing Practitioner Medical Doctor 97906 10/24/2022
SCHNITT, DREW EVAN Supervising Prescribing Practitioner Medical Doctor 86088 10/24/2022

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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 2/6/2025



* 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.