License Verification

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MINDY EVANGELISTI

License Number: PA9118901

Data As Of 7/4/2024

Profession
Physician Assistant
License
PA9118901
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/19/2024
Address of Record
19671 Still River ct
MONUMENT, CO 80132
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
MILLS, TYLER Supervising Prescribing Practitioner Osteopathic Physician 18796 06/27/2024
MONTOYA, DENNIS Supervising Prescribing Practitioner Medical Doctor 113199 06/27/2024
NANAVATI, POOJA Supervising Prescribing Practitioner Medical Doctor 131540 06/27/2024
NAPPI, ALEX Supervising Prescribing Practitioner Medical Doctor 125466 06/27/2024
NEWMAN, ALISA JANELL Supervising Prescribing Practitioner Medical Doctor 146748 06/27/2024
OCZYPOK, MATTHEW PAUL Supervising Prescribing Practitioner Medical Doctor 158415 06/27/2024
ORTOLANI, MARK TIMOTHY Supervising Prescribing Practitioner Medical Doctor 156092 06/27/2024
PARTYKA, BRONISLAW J Supervising Prescribing Practitioner Medical Doctor 114822 06/27/2024
PATCH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 132395 06/27/2024
PEPE, JOSEPH JR Supervising Prescribing Practitioner Osteopathic Physician 16193 06/27/2024
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/27/2024
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 06/27/2024
PORTO, ADRIANA Supervising Prescribing Practitioner Medical Doctor 143122 06/27/2024
POUND, AMY MARIE Supervising Prescribing Practitioner Medical Doctor 148582 06/27/2024
PRATOR, PAUL CARL M D Supervising Prescribing Practitioner Medical Doctor 92865 06/27/2024
PURCELL, JENNIFER Supervising Prescribing Practitioner Osteopathic Physician 18765 06/27/2024
RAGBEER, DAVID Supervising Prescribing Practitioner Osteopathic Physician 17806 06/27/2024
RATHKAMP, SKYLER Supervising Prescribing Practitioner Medical Doctor 158647 06/27/2024
REYNOLDS, KYLE Supervising Prescribing Practitioner Osteopathic Physician 18684 06/27/2024
ROGERS, HOWARD LEE Supervising Prescribing Practitioner Medical Doctor 71304 06/27/2024
ROMANO, FREDERICK P Supervising Prescribing Practitioner Osteopathic Physician 11078 06/27/2024
ROSA-DE JESUS, CLARINES Supervising Prescribing Practitioner Medical Doctor 110997 06/27/2024
ROY, BRIAN RENE Supervising Prescribing Practitioner Osteopathic Physician 10273 06/27/2024
RUBERO, JOSE A Supervising Prescribing Practitioner Medical Doctor 84660 06/27/2024
SAAD, AMANDA Supervising Prescribing Practitioner Medical Doctor 160404 06/27/2024
SAMUEL, PETER AIAD Supervising Prescribing Practitioner Medical Doctor 132116 06/27/2024
SANTAYANA, RICARDO JR Supervising Prescribing Practitioner Medical Doctor 119115 06/27/2024
SCHWARTZ, MATTHEW ABRAM Supervising Prescribing Practitioner Medical Doctor 135491 06/27/2024
SCOTT, DAVID Supervising Prescribing Practitioner Medical Doctor 143679 06/27/2024
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 06/27/2024
SELLEY, VICTORIA HUTTO Supervising Prescribing Practitioner Osteopathic Physician 15469 06/27/2024
SHAH, SHIRALI Supervising Prescribing Practitioner Medical Doctor 134469 06/26/2024
SHERIFF, ALEXANDRA HELENA Supervising Prescribing Practitioner Medical Doctor 159911 06/26/2024
SHOKUR, NIKITA Supervising Prescribing Practitioner Medical Doctor 162627 06/26/2024
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 06/26/2024
SMITH, MATTHEW WAYNE Supervising Prescribing Practitioner Osteopathic Physician 16446 06/26/2024
SNEAD, THOMAS LEE II Supervising Prescribing Practitioner Medical Doctor 116520 06/26/2024
STAFF, KRISTINE E Supervising Prescribing Practitioner Medical Doctor 117924 06/26/2024
SWAN, TRICIA BRENEE Supervising Prescribing Practitioner Medical Doctor 107005 06/26/2024
TALADRIZ, ARTURO Supervising Prescribing Practitioner Medical Doctor 66011 06/26/2024
THOMAS, SHERWIN ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 149747 06/26/2024
TIMMEL, MARK Supervising Prescribing Practitioner Medical Doctor 151869 06/26/2024
UMANSKY, AARON JOSEPH Supervising Prescribing Practitioner Medical Doctor 151420 06/26/2024
VACCARO, LISA MARIE Supervising Prescribing Practitioner Osteopathic Physician 18651 06/26/2024
VAN ETTEN, BRITTNEY MICHELLE Supervising Prescribing Practitioner Osteopathic Physician 17756 06/26/2024
VAN ETTEN, CHRISTOPHER JAMES Supervising Prescribing Practitioner Osteopathic Physician 16829 06/26/2024
VELASCO, WILLIAM J Supervising Prescribing Practitioner Medical Doctor 121914 06/26/2024
WALDMAN, ALEX JEFFREY Supervising Prescribing Practitioner Medical Doctor 143889 06/26/2024
WENZEL, SERGE ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 14350 06/28/2024
WHITE, JEREMY V Supervising Prescribing Practitioner Osteopathic Physician 11399 06/26/2024
WILLIAMS, ARTHUR LEE II Supervising Prescribing Practitioner Medical Doctor 107960 06/26/2024
YASAVOLIAN, MATTHEW Supervising Prescribing Practitioner Medical Doctor 137626 06/26/2024
YOHANNES-PETERS, FITSUM Supervising Prescribing Practitioner Medical Doctor 92187 06/26/2024
YONTECK, FREDERICK TODD Supervising Prescribing Practitioner Medical Doctor 87287 06/26/2024
ZAYAS MALDONADO, DAY ONILL Supervising Prescribing Practitioner Medical Doctor 131573 06/26/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/4/2024



* 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.