License Verification

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KRISTEN MARIE RIDGE

License Number: PA9116548

Data As Of 4/23/2026

Profession
Physician Assistant
License
PA9116548
License Status
Clear/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
09/28/2022
Address of Record
170 N Lime Ave
SARASOTA, FL 34237
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
5616 Tuscola Blvd
NORTH PORT, FL 34287
Address
2200 Tamiami Trl
PORT CHARLOTTE, FL 33948
Address
7337 University Pkwy
LAKEWOOD RANCH, FL 34202
Address
10735 FL-64
BRADENTON, FL 34212
Address
3110 Fruitville Commons Blvd Unit 101
LAKEWOOD RANCH, FL 34240
Address
4332 Cortez Rd W
BRADENTON, FL 34210
Name Relationship Profession License Effective Date
GONZALEZ-ABELLO, LISA MARIA Supervising Prescribing Practitioner Medical Doctor 71260 10/19/2022
RAFI, RIZALINO MERCADO JR Supervising Dispensing Practitioner Medical Doctor 106509 04/17/2026
RAFI, RIZALINO MERCADO JR Supervising Prescribing Practitioner Medical Doctor 106509 02/11/2026
RIDER, MONICA RAQUEL Supervising Prescribing Practitioner Osteopathic Physician 12222 05/22/2024

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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 4/23/2026



* 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.


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