License Verification

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DAVID ALLAN HERVIG

License Number: PA9102767

Data As Of 4/25/2025

Profession
Physician Assistant
License
PA9102767
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/17/2004
Address of Record
907 25th Dr E
Ellenton Family Practice Direct
ELLENTON, FL 34222
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
530 5th St E Connolly Orthopedics and Sportsmedicine
BRADENTON, FL 34208
Name Relationship Profession License Effective Date
KULAWIK, RAPHAEL Supervising Prescribing Practitioner Osteopathic Physician 12316 10/01/2016

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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 4/25/2025



* 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.