License Verification

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License Number: PA9100663

Data As Of 10/26/2026

Profession
Physician Assistant
License
PA9100663
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
12/15/1998
Address of Record
1001 East Osceola Pkwy
Kissimmee
Florida
KISSIMMEE, FL 34744
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
BRENNAN, DANIEL F Supervising Prescribing Practitioner Medical Doctor 49396 10/22/2026
BULLARD, TIMOTHY BRUCE M D Supervising Prescribing Practitioner Medical Doctor 38113 10/22/2026
CASSIDY, DAVID DENNIS MD Supervising Prescribing Practitioner Medical Doctor 63601 10/22/2026
CHAVEZ, SILVIO HORACIO Supervising Prescribing Practitioner Medical Doctor 72616 10/22/2026
CLARFIELD, THEODORE HARRISON Supervising Prescribing Practitioner Medical Doctor 139649 10/22/2026
CLARK, MARK CHRISTOPHER SR Supervising Prescribing Practitioner Medical Doctor 53363 10/22/2026
CORBETT, STEVEN C Supervising Prescribing Practitioner Medical Doctor 45386 10/22/2026
FLOREZ, CAMILO ERNESTO Supervising Prescribing Practitioner Medical Doctor 74078 10/22/2026
FOX, BRYAN JASON Supervising Prescribing Practitioner Medical Doctor 94839 10/22/2026
GAMBLE, MIRIAM JOY Supervising Prescribing Practitioner Medical Doctor 130206 10/22/2026
GULENAY, GEORGE Supervising Prescribing Practitioner Medical Doctor 144767 10/22/2026
HEAD, BRIAN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 122748 10/22/2026
HILWA, STEVE WAHEL Supervising Prescribing Practitioner Medical Doctor 103535 10/22/2026
KWAN, WING-YIN Supervising Prescribing Practitioner Medical Doctor 127773 10/22/2026
MCALEER, JAMES A Supervising Prescribing Practitioner Medical Doctor 19940 10/22/2026
MOLPUS, BRANTLEY KENT Supervising Prescribing Practitioner Medical Doctor 67828 10/22/2026
O'BRIEN, JULIA A Supervising Prescribing Practitioner Osteopathic Physician 5908 10/22/2026
PAGANE, JOSEPH Supervising Prescribing Practitioner Medical Doctor 64961 10/22/2026
PHAM, STEPHEN VIET Supervising Prescribing Practitioner Medical Doctor 75785 10/22/2026
ROMNEY, MARK LORENZO MD Supervising Prescribing Practitioner Medical Doctor 63318 10/22/2026
ROTHROCK, STEVEN GRANT Supervising Prescribing Practitioner Medical Doctor 57074 10/22/2026
SIMMONDS, YARELIES MALAVE Supervising Prescribing Practitioner Medical Doctor 126238 10/22/2026
VU, CHRISTOPHER HUY Supervising Prescribing Practitioner Medical Doctor 109654 10/22/2026

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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 10/26/2026



* 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.