License Verification

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FREDERICK JOSEPH HALL

License Number: PA9101624

Data As Of 6/17/2024

Profession
Physician Assistant
License
PA9101624
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/13/2001
Address of Record
880 37th Place Suite #105
VERO BEACH, FL 32960
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
ARNOLD, JOHN L JR Supervising Prescribing Practitioner Medical Doctor 90636 09/14/2021
BARABAS, ALEXANDRU Supervising Prescribing Practitioner Medical Doctor 133657 09/14/2021
BRYAN, JENNIFER ANN ADAMS M D Supervising Prescribing Practitioner Medical Doctor 94013 09/14/2021
DAVIDSON-JOCKOVICH, DAWN MARIE MD Supervising Prescribing Practitioner Medical Doctor 66378 09/14/2021
FERNANDEZ, JOHN RUSSELL Supervising Prescribing Practitioner Medical Doctor 65400 09/14/2021
HOLCOMBE, KEVIN WESTRAY Supervising Prescribing Practitioner Medical Doctor 112246 08/15/2023
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 09/14/2021
MAYOR-DAVIES, JUDY ANN Supervising Prescribing Practitioner Medical Doctor 73801 09/15/2021
MITCHELL, WILLIAM CLAY III Supervising Prescribing Practitioner Medical Doctor 129135 09/14/2021
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 09/14/2021
VELASCO, RODRIGO ERNESTO Supervising Prescribing Practitioner Medical Doctor 136030 09/14/2021

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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 6/17/2024



* 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.