License Verification

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DAVID THOMAS WILLIAMS

License Number: OS6588

Data As Of 11/22/2024

Profession
Osteopathic Physician
License
OS6588
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
04/14/1993
Address of Record
390 North Courtenay Parkway
MedFast Urgent Care Center
MERRITT ISLAND, FL 32953
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
275 West Cocoa Beach Cswy MedFast Urgent Care Center
COCOA BEACH, FL 32931
Address
206 East New Haven Avenue MedFast Urgent Care Center
MELBOURNE, FL 32901
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ALCE, BRITTANY Dispensing Physician Assistant Physician Assistant 9113154 8/13/2020
ALCE, BRITTANY Prescribing Physician Assistant Physician Assistant 9113154 8/13/2020
BARNINI, PAIGE KATHERINE Dispensing Physician Assistant Physician Assistant 9110993 8/22/2018
BARNINI, PAIGE KATHERINE Prescribing Physician Assistant Physician Assistant 9110993 8/22/2018
BRANDENBURG, ERIC LANCE Dispensing Physician Assistant Physician Assistant 9110259 8/30/2018
BRANDENBURG, ERIC LANCE Prescribing Physician Assistant Physician Assistant 9110259 8/29/2018
CCAFS EMS SYSTEM Service Provider EMS Service Provider ALS 519 8/20/2009
COOPER, MICHAEL MILLS Dispensing Physician Assistant Physician Assistant 9101612 6/3/2019
COOPER, MICHAEL MILLS Prescribing Physician Assistant Physician Assistant 9101612 5/30/2019
EVENTIDE, CHAD ELIOT Dispensing Physician Assistant Physician Assistant 9109043 8/21/2018
EVENTIDE, CHAD ELIOT Prescribing Physician Assistant Physician Assistant 9109043 8/21/2018
HATFIELD, SUSAN MERKEL Dispensing Physician Assistant Physician Assistant 9102015 6/28/2019
HATFIELD, SUSAN MERKEL Prescribing Physician Assistant Physician Assistant 9102015 6/28/2019
MEDFAST URGENT CARE CENTERS, LLC HCCE Health Care Clinic Establishment Permit 1/16/2009
MEDFAST URGENT CARE CENTERS, LLC HCCE Health Care Clinic Establishment Permit 4199 3/17/2011
MORENO, FREDDY ALEJANDRO Dispensing Physician Assistant Physician Assistant 9113159 8/13/2020
MORENO, FREDDY ALEJANDRO Prescribing Physician Assistant Physician Assistant 9113159 4/15/2020
ROCKLEDGE FIRE DEPARTMENT, CITY OF Service Provider EMS Service Provider ALS 517 7/14/2005
ROTHENGASS, NICHOLLE COLETTE Dispensing Physician Assistant Physician Assistant 9111908 1/18/2019
ROTHENGASS, NICHOLLE COLETTE Prescribing Physician Assistant Physician Assistant 9111908 1/18/2019
STOOTS, TYLER JACK Dispensing Physician Assistant Physician Assistant 9107491 10/29/2022
STOOTS, TYLER JACK Prescribing Physician Assistant Physician Assistant 9107491 10/29/2022
TITUSVILLE FIRE DEPARTMENT, CITY OF Service Provider EMS Service Provider ALS 514 10/3/2003
YOUNG, ANTHONY O'CHELL Prescribing Physician Assistant Physician Assistant 9112036 6/3/2019

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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.


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.