License Verification

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ALBERTO JOSE TEIJELO

License Number: PA9101853

Data As Of 10/27/2026

Profession
Physician Assistant
License
PA9101853
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
11/20/2001
Address of Record
Sarasota Family Medical
6813 South Tamiami Trl
SARASOTA, FL 34231
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
C4MH 1109 Professional Park Dr
BRANDON, FL 33511
Name Relationship Profession License Effective Date
ARRIETA, JULIO MIGUEL Supervising Prescribing Practitioner Medical Doctor 122510 10/19/2026
BAYINDIRYAN, TEODORA CAROLYN Supervising Prescribing Practitioner Medical Doctor 125443 10/19/2026
BERRY, BRYAN PAUL Supervising Prescribing Practitioner Medical Doctor 120421 10/19/2026
BERRY, TAMMY MARIE Supervising Prescribing Practitioner Medical Doctor 121237 10/19/2026
BOYER, PAMELA SUE Supervising Prescribing Practitioner Osteopathic Physician 9561 10/19/2026
BROOKSHIRE, GLEN HOUSTON Supervising Prescribing Practitioner Osteopathic Physician 13271 10/19/2026
BUTLER, TARA S MD Supervising Prescribing Practitioner Medical Doctor 105696 10/19/2026
CASEBOLT, KEVIN MATTHEW Supervising Prescribing Practitioner Medical Doctor 107113 10/19/2026
DE LA PUENTE, RAFAEL JOSE Supervising Prescribing Practitioner Medical Doctor 118719 10/19/2026
FINGADO, LUCINDA GRACE Supervising Prescribing Practitioner Medical Doctor 125950 10/19/2026
FLOYD, KATON Supervising Prescribing Practitioner Medical Doctor 135595 10/19/2026
FRANK, MARSHALL ABRAHAM Supervising Prescribing Practitioner Osteopathic Physician 11056 10/19/2026
GALWANKAR, SAGAR CHANDRAMOHAN Supervising Prescribing Practitioner Medical Doctor 99954 10/19/2026
GERBER, JOEL LAWRENCE Supervising Prescribing Practitioner Medical Doctor 84098 10/19/2026
HAFER, AMANDA ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 14465 10/19/2026
HOLLAND, REUBEN WRIGHT III Supervising Dispensing Practitioner Medical Doctor 55507 08/20/2020
HOLLAND, REUBEN WRIGHT III Supervising Prescribing Practitioner Medical Doctor 55507 10/19/2026
JOHNSON, MARK CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 82651 10/19/2026
KAMM, STEVEN WILLIAM M D Supervising Prescribing Practitioner Medical Doctor 56256 10/19/2026
KRAHM, DAVID JOHN Supervising Prescribing Practitioner Osteopathic Physician 12583 10/19/2026
KRBLICH, DIANA NICOLE Supervising Prescribing Practitioner Medical Doctor 114055 10/19/2026
LESNICK, JOSEPH Supervising Prescribing Practitioner Medical Doctor 136280 10/19/2026
LLERENA, RICHARD LEE Supervising Prescribing Practitioner Osteopathic Physician 7762 10/19/2026
MAHONEY, WILLIAM MARK Supervising Prescribing Practitioner Medical Doctor 66743 10/19/2026
MATTHEWS, TALOR ELYSE Supervising Prescribing Practitioner Medical Doctor 129220 10/19/2026
MCGILL, LAURA MARIE D O Supervising Prescribing Practitioner Osteopathic Physician 12027 10/19/2026
NOTMAN, SHAUN ALAN Supervising Prescribing Practitioner Osteopathic Physician 13026 10/19/2026
O'KEEFE, KELLY PATRICK Supervising Prescribing Practitioner Medical Doctor 72363 10/19/2026
PATRICOSKI, CHRISTOPHER T Supervising Prescribing Practitioner Medical Doctor 112520 10/19/2026
RUFFIN, JOHN WESLEY Supervising Prescribing Practitioner Medical Doctor 124920 10/19/2026
SHANK, COLLEEN FRANCES Supervising Prescribing Practitioner Osteopathic Physician 11233 10/19/2026
SNITOWSKY, RYAN SCOTT Supervising Prescribing Practitioner Medical Doctor 120181 10/19/2026
STONE, DAVID D Supervising Prescribing Practitioner Medical Doctor 123376 10/19/2026
TEMPLE, SARAH RUTH Supervising Prescribing Practitioner Medical Doctor 111890 10/19/2026
WILLIAMS, ALEXANDER JON Supervising Prescribing Practitioner Medical Doctor 112278 10/19/2026
WOODFORD, CLIFTON MAC GREGOR Supervising Prescribing Practitioner Medical Doctor 123240 10/19/2026

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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 10/27/2026



* 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.