License Verification

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THERESA A BIEMER

License Number: PA9101894

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9101894
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/15/2002
Address of Record
570 Lexington Green Lane
Tele Med Clinix LLC
SANFORD, FL 32771
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Remedy Therapy 6300 SE Federal Hwy,
STUART, FL 34997
Address
1111 SE Federal Highway MindSet Behavioral Clinic
STUART, FL 34994
Name Relationship Profession License Effective Date
ADLEN, MARK E DO Supervising Prescribing Practitioner Osteopathic Physician 9102 05/02/2017
AKINYEMI, AKINBOYEDE ENIOLA Supervising Prescribing Practitioner Medical Doctor 133667 01/23/2023
BISHOP, JEFFREY M DO Supervising Prescribing Practitioner Osteopathic Physician 5102 06/11/2024
MUNNE QUINTANA, RAFAEL ANTONIO MD Supervising Prescribing Practitioner Medical Doctor 71804 06/27/2022
PICHARDO, NELSON ANTONIO Supervising Prescribing Practitioner Medical Doctor 113342 03/21/2022

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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 11/22/2024



* 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.


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