License Verification

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WILLIAM DEJESUS BERMEO

License Number: PA9102223

Data As Of 6/25/2024

Profession
Physician Assistant
License
PA9102223
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/25/2002
Address of Record
100 ARRICOLA AVE.
SAINT AUGUSTINE, FL 32080
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Island Doctors 1114 SR 20 suite #300
INTERLACHEN, FL 32148
Address
199 S. US Highway 17 Suite A Island Doctors
EAST PALATKA, FL 32131
Address
308 North 2nd Street Island Doctors
FLAGLER BEACH, FL 32136
Address
264A Palm Coast Parkway, N.E.
PALM COAST, FL 32137
Name Relationship Profession License Effective Date
HINMAN, ROY HERMAN II MD Supervising Prescribing Practitioner Medical Doctor 56729 12/16/2021

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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 6/25/2024



* 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.