License Verification

Printer Friendly Version

TIFFANY DANIELLE EVERTS

License Number: PA9121039

Data As Of 10/28/2026

Profession
Physician Assistant
License
PA9121039
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
10/24/2025
Address of Record
1112 E Washington Ave
FL
PIERSON, FL 32180
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
570 E. Washington Ave
PIERSON, FL 32180
Address
57 Town Court STE 119
PALM COAST, FL 32164
Address
3951 S. Nova Rd
PORT ORANGE, FL 32127
Address
105 N. Duss Street
NEW SMYRNA, FL 32168
Address
1840 Greenwich Ave
WINTER PARK, FL 32789
Address
1425 Hand Ave Suite C
ORMOND BEACH, FL 32174
Name Relationship Profession License Effective Date
DEMERCURIO, JEFFREY STANTON Supervising Prescribing Practitioner Medical Doctor 101551 10/12/2026
KURSHENBAUM, HOWARD ALAN Supervising Prescribing Practitioner Medical Doctor 62585 10/12/2026
NAGRANI, MARK K Supervising Prescribing Practitioner Medical Doctor 154560 10/12/2026
NAGRANI, NICOLE KRISTINA Supervising Prescribing Practitioner Medical Doctor 160611 06/01/2026

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 10/28/2026



* 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.


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.