License Verification

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DEBORAH MADELON

License Number: PA9117704

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9117704
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/03/2023
Address of Record
1775 W Hibiscus Blvd
#215
MELBOURNE, FL 32901
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
AGOSTO DIAZ, EDIL J Supervising Prescribing Practitioner Medical Doctor 102761 02/19/2024
BANAPOOR, BENJAMIN Supervising Prescribing Practitioner Medical Doctor 156442 02/19/2024
BRONSTEMA, CLARENCE JAMES DO Supervising Prescribing Practitioner Osteopathic Physician 9722 02/19/2024
BROWN, MARTY RAY M D Supervising Prescribing Practitioner Medical Doctor 75648 02/19/2024
DUDLEY, LARISSA SOPHIA Supervising Prescribing Practitioner Medical Doctor 131434 02/19/2024
FOSTER, QUINTON ADAM Supervising Prescribing Practitioner Medical Doctor 168147 08/14/2024
GAGEN, JAMES SHAWN Supervising Prescribing Practitioner Osteopathic Physician 10263 02/19/2024
GREEN, DOUGLAS WARREN MD Supervising Prescribing Practitioner Medical Doctor 81481 02/19/2024
GRIFFIN, JOHN PATRICK MD Supervising Prescribing Practitioner Medical Doctor 78523 02/19/2024
GUTTA, RAJESH Supervising Prescribing Practitioner Medical Doctor 82886 02/19/2024
HOMERICK, MICHAEL JOHN Supervising Prescribing Practitioner Medical Doctor 119113 02/19/2024
JOCKOVICH, MILAN MD Supervising Prescribing Practitioner Medical Doctor 65559 02/19/2024
LLINAS, JACQUELINE B MD Supervising Prescribing Practitioner Medical Doctor 68727 02/19/2024
MATHEW, DANA RICHARDS MD Supervising Prescribing Practitioner Medical Doctor 128175 02/19/2024
MILES, JAMES TIMOTHY Supervising Prescribing Practitioner Medical Doctor 76017 02/19/2024
OLIVEIRA, BRIAN MARIO Supervising Prescribing Practitioner Medical Doctor 110586 02/19/2024
OSWALD, NED ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 121076 02/19/2024
REHAK, CHRISTOPHER STEPHEN Supervising Prescribing Practitioner Medical Doctor 78080 02/19/2024
ROTOLO, ALYSSA BIXBY Supervising Prescribing Practitioner Medical Doctor 127035 02/19/2024
ST CLAIR, AARON LEE Supervising Prescribing Practitioner Medical Doctor 106075 02/19/2024
STOJANOVSKI, MIHAIL METODIJA Supervising Prescribing Practitioner Medical Doctor 130869 02/19/2024
VAZQUEZ, JOHNNY J Supervising Prescribing Practitioner Medical Doctor 97644 01/31/2022
WEBER, DOUGLAS ANTHONY Supervising Prescribing Practitioner Medical Doctor 143900 02/19/2024

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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 11/22/2024



* 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.