License Verification

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FREDERICK DA' NERRA PARKER

License Number: PA9116682

Data As Of 9/22/2025

Profession
Physician Assistant
License
PA9116682
License Status
Clear/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/18/2022
Address of Record
3030 4th St N
SAINT PETERSBURG, FL 33704
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2420 Gulf to Bay Blvd, Suite 5
CLEARWATER, FL 33765
Address
26812 North Hwy 19
CLEARWATER, FL 33761
Address
10500 Ulmerton Road, Suite 202
LARGO, FL 33771
Address
7321 Park Blvd N
PINELLAS PARK, FL 33781
Address
10943 Causeway Blvd
BRANDON, FL 33511
Address
2102 S. Dale Mabry Hwy
TAMPA, FL 33629
Address
12105 W Linebaugh Ave, Unit 20
WESTCHASE, FL 33626
Address
408 East Brandon Blvd
BRANDON, FL 33511
Address
3700 US Hwy 98 N, Suite 101
LAKELAND, FL 33809
Address
13610 Bruce B. Downs Blvd
TAMPA, FL 33613
Address
4332 Cortez Rd
BRADENTON, FL 34210
Address
10735 SR 64 E
BRADENTON, FL 34212
Address
3110 Fruitville Commons Blvd
LAKEWOOD RANCH, FL 34240
Address
7337 University Parkway
LAKEWOOD RANCH, FL 34202
Address
5616 Tuscola Blvd
NORTH PORT, FL 34287
Address
2200 Tamiami Trail
PORT CHARLOTTE, FL 33948
Name Relationship Profession License Effective Date
DAVIS, RANDAL LEE Supervising Dispensing Practitioner Medical Doctor 110579 08/18/2025
DAVIS, RANDAL LEE Supervising Prescribing Practitioner Medical Doctor 110579 04/25/2025
GORSTEIN, JAY IRWIN Supervising Prescribing Practitioner Osteopathic Physician 15081 05/22/2023

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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 9/22/2025



* 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.