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TIMOTHY WAYNE HENDRIX

License Number: ME65142

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME65142
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/06/1993
Address of Record
2600 WESTHALL LANE
MAITLAND, FL 32751
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6345 N. Wickham Road Ste 101
MELBOURNE, FL 32940
Address
5821 S. Williamson Blvd suite 205
PORT ORANGE, FL 32128
Address
1520 W. Orange Blossom Trail
APOPKA, FL 32712
Address
9225 Miley Drive Suite 100
WINTER GARDEN, FL 34787
Address
11001 West Colonial Dr Suite 110
OCOEE, FL 34761
Address
9303 Jeff Fuqua Blvd suite 2578
ORLANDO, FL 32827
Address
6277 Sea Harbor Dr
ORLANDO, FL 32821
Address
8014 CONROY WINDERMERE ROAD STE 104
ORLANDO, FL 32835
Address
10222 BLOOMINGDALE AVE
RIVERVIEW, FL 33578
Address
1925 MIZELL AVE SUITE 100
WINTER PARK, FL 32792
Address
19015 US HIGHWAY 441
MOUNT DORA, FL 32757
Address
1014 W. Intl SPEEDWAY BLVD
DAYTONA BEACH, FL 32114
Address
4001 W. LINEBAUGH AVE.
TAMPA, FL 33624
Address
1103 N. 14TH ST.
LEESBURG, FL 34748
Address
3637 US Hwy 98
LAKELAND, FL 33809
Address
7727 LAKE UNDERHILL RD.
ORLANDO, FL 32822
Address
11550 UNIVERSITY BLVD
ORLANDO, FL 32817
Address
201 HILDA STREET SUITE 20
KISSIMMEE, FL 34741
Address
601 E. ALTAM ONTE DR.
ALTAMONTE SPRINGS, FL 32701
Address
9580 W COLONIAL DRIVE
OCOEE, FL 34761
Address
4320 W VINE STREET
KISSIMMEE, FL 34746
Address
8010 RED BUG ROAD
OVIEDO, FL 32765-8084
Address
250 N ALAFAYA TRAIL SUITE 135
ORLANDO, FL 32825
Address
2301 SAND LAKE ROAD
ORLANDO, FL 32809
Address
15701 STATE ROAD 50 SUITE 101
CLERMONT, FL 34711
Address
855 S US HIGHWAY 17 92
LONGWOOD, FL 32750
Address
2540 LEE ROAD
WINTER PARK, FL 32789
Address
12500 S APOPKA VINELAND ROAD
ORLANDO, FL 32836
Address
509 S SEMORAN BLVD
ORLANDO, FL 32807
Address
3293 GREENWALD WAY NORTH
KISSIMMEE, FL 34741
Address
8701 MAITLAND SUMMIT BLVD
ORLANDO, FL 32810
Address
7848 W IRLO BRONSON HGWY
KISSIMMEE, FL 34747
Address
4660 13TH STREET
SAINT CLOUD, FL 34769
Address
4400 ALAFAYA TRAIL
ORLANDO, FL 32826
Address
5810 S SEMORAN BLVD
ORLANDO, FL 32822
Address
440 W HIGHWAY 436
ALTAMONTE SPRINGS, FL 32714
Address
3099 ALOMA AVENUE
WINTER PARK, FL 32792
Address
2609 SOUTH ORANGE AVE.
ORLANDO, FL 32806-4547
Address
200 N. LAKEMONT AVE WINTER PARK EMPLOYEE CLINIC
WINTER PARK, FL 32792
Address
4451 WEST 1ST STREET
SANFORD, FL 32771
Address
201 HILDA STREET SUITE 35
KISSIMMEE, FL 34741
Address
8201 W. IRLO BRONSON HIGHWAY
KISSIMMEE, FL 34747
Address
1208 DUNLAWTON AVE
PORT ORANGE, FL 32127
Address
630 N BUMBY AVENUE
ORLANDO, FL 32803
Address
301 NORTH DALE MABRY HGWY
TAMPA, FL 33609
Address
2325 W. FAIRBANKS AVE.
WINTER PARK, FL 32789
Address
3005 DANIELS ROAD
WINTER GARDEN, FL 34787
Address
5504 GATEWAY BLVD
WESLEY CHAPEL, FL 33543
Address
9637 Lake Nona Village
ORLANDO, FL 32827
Address
2948 Lake Mary Blvd
LAKE MARY, FL 32746
Address
105 SOUTH COUNTRY CLUB ROAD
LAKE MARY, FL 32746
Address
2600 WESTHALL LANE BOX 300
MAITLAND, FL 32751
Address
400 CELEBRATION PL SUITE A150
CELEBRATION, FL 34747
Address
1270 PALM COAST PARKWAY NW
PALM COAST, FL 32137
Address
1001 N Lake Destiny Road 1st Floor
MAITLAND, FL 32751
Address
1127 BRUCE B. DOWNS BLVD
WESLEY CHAPEL, FL 33544
Address
1000 DARDEN CENTER DRIVE
ORLANDO, FL 32837
Address
423 Linden Lane
LAKE WALES, FL 33853
Address
1925 Mizell Ave
WINTER PARK, FL 32797
Address
40124 US Hwy 27 Suite 206
DAVENPORT, FL 33837
Address
3708 SW College Rd
OCALA, FL 34474
Address
627 Progress Way
SANFORD, FL 32771
Address
603 North Washington Ave suite 101
TITUSVILLE, FL 32796
Address
2335 S. Washington Ave
TITUSVILLE, FL 32780
Address
105 S. Banana River Blvd
COCOA BEACH, FL 32931
Address
1223 Gateway Dr. Ste 1E
MELBOURNE, FL 32901
Address
730 Malabar Rd Ste B
MALABAR, FL 32950
Address
20205 US Hwy 27
LAKE WALES, FL 33853
Address
2325 W Fairbanks Ave Suite 2
WINTER PARK, FL 32789
Address
11001 W Colonial Dr Suite 110
OCOEE, FL 34761
Address
11001 West Colonial Drive Suit
OCOEE, FL 34761
Address
6419 S. Lakeland Ave Suite 109
LAKELAND, FL 33813
Address
5821 S. Williamson Blvd Suite
PORT ORANGE, FL 32128
Address
153 Sugar Belle Drive Suite J
WINTER GARDEN, FL 34787
Address
3131 Daniels Rd Ste 106
WINTER GARDEN, FL 34787
Address
1919 E. Highway 50 Ste 205
CLERMONT, FL 34711
Address
885 N. Alafaya Trail Ste G04
ORLANDO, FL 32828
Address
4425 West 1st Street
SANFORD, FL 32771
Address
25 S. Terry Ave Suite 310
ORLANDO, FL 32805
Address
4757 The Grove Drive Suite 132
WINDERMERE, FL 34786
Address
3030 E. Semoran Blvd Ste 264
APOPKA, FL 32703
Address
2488 E. Irlo Bronson Memorial
KISSIMMEE, FL 34744
Address
5850 W Irlo Bronson Memorial H
KISSIMMEE, FL 34746
Address
2345 E Highway 50
CLERMONT, FL 34711
Address
6419 S Florida Ave, Ste 109
LAKELAND, FL 33813
Name Relationship Profession License Effective Date
ALEXIS, JANEAH Supervising Prescribing Practitioner Osteopathic Physician 20003 06/28/2023
FISHER, ALLEN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 6992 08/01/2021
GHALY, MICHAEL Supervising Prescribing Practitioner Medical Doctor 169260 08/20/2024
GOYAL, KAMAL KUMAR MD Supervising Prescribing Practitioner Medical Doctor 132449 05/01/2023
HEMBREE, TIMOTHY NELSON Supervising Prescribing Practitioner Osteopathic Physician 12077 11/01/2021
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 12/05/2022
HENDRIX, TIMOTHY WAYNE Supervising Prescribing Practitioner Medical Doctor 65142 11/07/2023
MONEY, ADAM Supervising Prescribing Practitioner Medical Doctor 151901 05/10/2024
OTT, PAUL CARL Supervising Prescribing Practitioner Osteopathic Physician 18168 10/25/2021
VELASCO, ANDRES FELIPE Supervising Prescribing Practitioner Medical Doctor 96936 08/01/2021
WESOLOW, JACQUELINE TANYA Supervising Prescribing Practitioner Osteopathic Physician 12792 11/01/2022
ZIMMER, BRIAN Supervising Dispensing Practitioner Osteopathic Physician 18890 09/01/2022

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
ABBASI, SOGAND Prescribing Physician Assistant Physician Assistant 9118203 9/18/2024
ABENINA, JULIUS ANTHONY Dispensing Physician Assistant Physician Assistant 9107619 8/13/2020
AGUILAR, GUSTAVO A Dispensing Physician Assistant Physician Assistant 9103544 8/20/2020
ALIAGA, ANTHONY Dispensing Physician Assistant Physician Assistant 9108375 8/16/2020
ALLEN, DOROTHY Dispensing Physician Assistant Physician Assistant 9115823 5/22/2023
ALLEN, DOROTHY Prescribing Physician Assistant Physician Assistant 9115823 5/22/2023
ANDONI, ANISA Dispensing Physician Assistant Physician Assistant 9108352 10/2/2017
APPLEBEE, LARRY ERNEST Dispensing Physician Assistant Physician Assistant 9102669 10/18/2021
ARAUJO, ANDY Prescribing Physician Assistant Physician Assistant 9112075 8/24/2021
AZIZ, MENA Dispensing Physician Assistant Physician Assistant 9116533 9/19/2022
AZIZ, MENA Prescribing Physician Assistant Physician Assistant 9116533 9/19/2022
BALDWIN, EDWARD BECK III Dispensing Physician Assistant Physician Assistant 9107136 8/26/2021
BARBATO, XENIA N Dispensing Physician Assistant Physician Assistant 9107310 8/5/2021
BARNES, MICHAEL WILLIAM Dispensing Physician Assistant Physician Assistant 9102604 9/27/2017
BAUMGARDNER, MAXEN LANE Subordinate Osteopathic Physician 10872 1/29/2021
BAXTER, SEAN MICHAEL Dispensing Physician Assistant Physician Assistant 9116039 6/21/2022
BELABIN, JEFFREY HOWARD Dispensing Physician Assistant Physician Assistant 9101384 10/2/2017
BERRINGER, SEAN Dispensing Physician Assistant Physician Assistant 9119319 10/21/2024
BETCHERMAN, AVI STEVEN Dispensing Physician Assistant Physician Assistant 9109090 7/16/2022
BOYER, EMMA Dispensing Physician Assistant Physician Assistant 9110409 3/12/2024
BOYER, EMMA Prescribing Physician Assistant Physician Assistant 9110409 3/12/2024
BRODKIN, STUART I Dispensing Physician Assistant Physician Assistant 9101739 8/23/2021
BRYAN, NYKIA-GEORGE ANTHEA Dispensing Physician Assistant Physician Assistant 9113144 8/21/2021
BRYANT, HEATHER NICOLE Dispensing Physician Assistant Physician Assistant 9110015 8/27/2020
BUNCE, SHILPY Dispensing Physician Assistant Physician Assistant 9118040 1/9/2024
BUNCE, SHILPY Prescribing Physician Assistant Physician Assistant 9118040 1/9/2024
BURKE, MAKEBA JOY Dispensing Physician Assistant Physician Assistant 9107373 8/11/2021
BURKE, MAKEBA JOY Prescribing Physician Assistant Physician Assistant 9107373 8/11/2021
BURNS, BLAIR THOMAS Dispensing Physician Assistant Physician Assistant 9108236 9/15/2020
BURNS, BLAIR THOMAS Prescribing Physician Assistant Physician Assistant 9108236 10/5/2020
BUSTAMANTE, MELANIE ROSE Dispensing Physician Assistant Physician Assistant 9119508 11/1/2024
BUSTAMANTE, MELANIE ROSE Prescribing Physician Assistant Physician Assistant 9119508 11/1/2024
CAMPOS, ANDY MICHAEL Dispensing Physician Assistant Physician Assistant 9108520 2/8/2018
CARBONE, OLIVIA Dispensing Physician Assistant Physician Assistant 9116980 2/1/2023
CARBONE, OLIVIA Prescribing Physician Assistant Physician Assistant 9116980 2/1/2023
CARRAZANA, JASON DANIEL Dispensing Physician Assistant Physician Assistant 9116442 10/3/2022
CAVALCANTE, ALESSANDRO ALVES Dispensing Physician Assistant Physician Assistant 9105334 10/21/2024
CAVALCANTE, ALESSANDRO ALVES Prescribing Physician Assistant Physician Assistant 9105334 10/21/2024
CHAMPANERIA, KRUPALI Dispensing Physician Assistant Physician Assistant 9117761 9/5/2023
CHAMPANERIA, KRUPALI Prescribing Physician Assistant Physician Assistant 9117761 9/5/2023
CHAPUT, ANDREA MICHELLE Dispensing Physician Assistant Physician Assistant 9105370 8/12/2020
CHRISTIANSON SAVAGE, CAJIN RAIN Dispensing Physician Assistant Physician Assistant 9115972 9/11/2022
CHRISTIANSON SAVAGE, CAJIN RAIN Prescribing Physician Assistant Physician Assistant 9115972 10/14/2022
CONROY, PAIGE M Dispensing Physician Assistant Physician Assistant 9114749 11/14/2021
CONROY, PAIGE M Prescribing Physician Assistant Physician Assistant 9114749 11/14/2021
CORRELL, VICTORIA Dispensing Physician Assistant Physician Assistant 9111971 9/13/2021
CRAIG, DAVID CLAYTON Dispensing Physician Assistant Physician Assistant 9115161 10/23/2022
CRESPO-RAMOS, NEISHA ANGELICA Prescribing Physician Assistant Physician Assistant 9116362 5/12/2023
DALEY, ANDRE M Dispensing Physician Assistant Physician Assistant 9112006 7/22/2022
DALEY, ANDRE M Prescribing Physician Assistant Physician Assistant 9112006 7/22/2022
DALEY, JANIN CHRISTIN Dispensing Physician Assistant Medical Doctor 123412 8/3/2020
DAMICO, MICHAEL Dispensing Physician Assistant Physician Assistant 9113281 8/20/2020
DE LA ROCHA, JOSE JULIAN Dispensing Physician Assistant Physician Assistant 3333 10/2/2017
DEGROAT, JONATHAN THOMAS Subordinate Medical Doctor 114356 1/29/2021
DELANEY, CHARLES BRUCE Dispensing Physician Assistant Physician Assistant 3587 8/15/2020
DELANEY, MATTHEW FRANCIS Dispensing Physician Assistant Physician Assistant 9104101 8/10/2020
DEMPEL, SUSANN CAROLYN Dispensing Physician Assistant Physician Assistant 9107862 8/11/2020
DENTON, SLOANE MATHIS Dispensing Physician Assistant Physician Assistant 9108116 7/17/2022
DESOUZA, AUREA DASILVA Dispensing Physician Assistant Physician Assistant 9118532 3/25/2024
DESOUZA, AUREA DASILVA Prescribing Physician Assistant Physician Assistant 9118532 3/25/2024
DICKERMAN, SHEILA R Dispensing Physician Assistant Physician Assistant 9105799 5/16/2023
DIGIULIO, MEGHAN ELLEN Prescribing Physician Assistant Physician Assistant 9112022 8/25/2021
DOMICO, JONATHAN DAVID Dispensing Physician Assistant Physician Assistant 9104899 8/14/2020
EDGIL, JUSTIN M Dispensing Physician Assistant Physician Assistant 9118274 9/9/2024
EDGIL, JUSTIN M Prescribing Physician Assistant Physician Assistant 9118274 9/9/2024
EFREMOSKI, ANN MCCULLOUGH Dispensing Physician Assistant Physician Assistant 9105836 9/7/2021
EL BOUGRINI, ZINEB Dispensing Physician Assistant Physician Assistant 9110744 9/20/2022
EL BOUGRINI, ZINEB Prescribing Physician Assistant Physician Assistant 9110744 9/20/2022
ENSOR, JENNIFER M Dispensing Physician Assistant Physician Assistant 9117139 3/20/2023
ENSOR, JENNIFER M Prescribing Physician Assistant Physician Assistant 9117139 3/20/2023
EVANS, HENYA Dispensing Physician Assistant Physician Assistant 9106419 8/15/2021
FERREIRA, JOHN FRANCIS Dispensing Physician Assistant Physician Assistant 9104195 8/14/2020
FIGUEROA MATIAS, YARELIS Dispensing Physician Assistant Physician Assistant 9109525 1/27/2021
FLOREZ, CAMILO ERNESTO Subordinate Medical Doctor 74078 8/18/2020
FORTE, LOUISE M Dispensing Physician Assistant Physician Assistant 3113 9/21/2021
FRENCH, ADRIANNE Dispensing Physician Assistant Physician Assistant 9111052 8/9/2020
GADALEAN, CHRISTINA ANN Dispensing Physician Assistant Osteopathic Physician 12344 1/26/2021
GADALEAN, CHRISTINA ANN Subordinate Osteopathic Physician 12344 1/29/2021
GALLIMORE, JANICE ELLEN YOLANDE Dispensing Physician Assistant Physician Assistant 9106585 10/2/2017
GARDENS, JOSE B Dispensing Physician Assistant Physician Assistant 9100180 8/17/2020
GARRIGUS, ROBERT PAUL Dispensing Physician Assistant Physician Assistant 9109653 8/7/2021
GASKILL, LAURA NICOLE Dispensing Physician Assistant Physician Assistant 9107917 12/17/2020
GENTRY, RACHAEL LEIGH Dispensing Physician Assistant Physician Assistant 9108099 8/7/2020
GORMAN, KRISTA RENE Dispensing Physician Assistant Physician Assistant 9101480 8/13/2021
GRIDER, KRISTEN MARIE Dispensing Physician Assistant Physician Assistant 9105216 8/17/2020
GUERRA, XAVIER SANTIAGO Dispensing Physician Assistant Physician Assistant 9117313 5/8/2023
GUERRA, XAVIER SANTIAGO Prescribing Physician Assistant Physician Assistant 9117313 3/30/2023
GUIMOND, GUY Prescribing Physician Assistant Physician Assistant 9110958 3/11/2020
HABERSBRUNNER, LISA M Dispensing Physician Assistant Physician Assistant 9108678 12/9/2020
HARTMANN, STEFAN THOMAS Dispensing Physician Assistant Physician Assistant 9111847 8/17/2021
HEHRE, ROBERT JAGGER Dispensing Physician Assistant Physician Assistant 9114495 3/2/2022
HENDRIX, TIMOTHY WAYNE Dispensing Physician Assistant Medical Doctor 65142 12/5/2022
HENDRIX, TIMOTHY WAYNE Prescribing Physician Assistant Medical Doctor 65142 11/7/2023
HERNANDEZ ROMAN, JULIO CESAR Dispensing Physician Assistant Physician Assistant 9113605 8/9/2021
HIGUERA, KAREN Dispensing Physician Assistant Physician Assistant 9110949 8/8/2020
HOARD, MICHAEL RYAN Dispensing Physician Assistant Physician Assistant 9112164 8/22/2020
HOLMBECK, TERI MICHELLE Dispensing Physician Assistant Physician Assistant 9105696 8/2/2021
HOLT, CHARDE BREANN Dispensing Physician Assistant Physician Assistant 9112643 9/22/2022
HOWARD, JEREMIAH S Dispensing Physician Assistant Physician Assistant 9107166 7/27/2022
HUMFELD, KAITLYN JILL Dispensing Physician Assistant Physician Assistant 9111599 8/12/2020
HUNTER, JEFFREY LYALL MD Dispensing Physician Assistant Medical Doctor 77885 2/13/2024
HUSSEIN, KHADIJA YOUSSEF Dispensing Physician Assistant Physician Assistant 9109810 12/3/2020
IDONE, JOSE ALEJANDRO Dispensing Physician Assistant Physician Assistant 9111973 1/25/2021
IMHOFF, LUCINDA RENEE Dispensing Physician Assistant Physician Assistant 9106535 8/10/2022
ISAKHAROV, MARGARITA Dispensing Physician Assistant Medical Doctor 117365 8/30/2021
IVANOV, RUSLAN Dispensing Physician Assistant Medical Doctor 77225 12/9/2020
JANSSEN, BRIANNA MARIE Dispensing Physician Assistant Physician Assistant 9112026 8/25/2021
JASIMUDDIN, SHEIKH KHWAJA Dispensing Physician Assistant Medical Doctor 100463 1/23/2021
JASIMUDDIN, SHEIKH KHWAJA Subordinate Medical Doctor 100463 1/23/2021
JEAN, WILLIAMSON Dispensing Physician Assistant Physician Assistant 9113379 8/5/2021
JEUNG, HAE Dispensing Physician Assistant Physician Assistant 9113007 8/3/2021
KIRBY, SARA E Subordinate Medical Doctor 113449 12/8/2020
KLEIN, JESSICA Dispensing Physician Assistant Physician Assistant 9116441 9/14/2022
KLEIN, JESSICA Prescribing Physician Assistant Physician Assistant 9116441 9/14/2022
KOLANKO, KAYLA MARIE Dispensing Physician Assistant Physician Assistant 9113956 1/20/2021
LABINGER, SETH DOUGLAS MD Dispensing Physician Assistant Medical Doctor 65884 8/6/2020
LAMBIE, NATALIE DAWN Subordinate Osteopathic Physician 11732 1/26/2021
LAMOREAUX, HEIDI Dispensing Physician Assistant Physician Assistant 9110720 8/20/2021
LARES PEREZ, JUAN MANUEL Dispensing Physician Assistant Physician Assistant 9117299 4/28/2023
LE, MICHELLE Dispensing Physician Assistant Physician Assistant 9116850 12/8/2022
LEFERE, ASHLEY MARIE Dispensing Physician Assistant Physician Assistant 9110344 8/4/2020
LENTZ, JUSTIN Dispensing Physician Assistant Physician Assistant 9117333 3/6/2023
LENTZ, JUSTIN Prescribing Physician Assistant Physician Assistant 9117333 5/8/2023
LEVY OBANDO, JOSMARY Dispensing Physician Assistant Physician Assistant 9110753 1/5/2021
LILES, CHELSEA Dispensing Physician Assistant Physician Assistant 9112179 7/14/2022
LORGE, KATHLYN Dispensing Physician Assistant Physician Assistant 9117889 11/7/2023
LORGE, KATHLYN Prescribing Physician Assistant Physician Assistant 9117889 11/1/2023
LOUTFI, LAURA Dispensing Physician Assistant Physician Assistant 9113977 7/15/2022
MAIDWELL, SANDRA C Dispensing Physician Assistant Physician Assistant 9105482 10/2/2017
MCCABE, JANET FAITH Dispensing Physician Assistant Physician Assistant 9104602 10/2/2017
MCCOLGAN, KRISTINA DANIELA Dispensing Physician Assistant Physician Assistant 9111580 1/5/2021
MCCOLGAN, KRISTINA DANIELA Prescribing Physician Assistant Physician Assistant 9111580 11/24/2020
MEHTA, KRUNALI Dispensing Physician Assistant Physician Assistant 9117527 8/28/2023
MEHTA, KRUNALI Prescribing Physician Assistant Physician Assistant 9117527 8/28/2023
MERRITT, RAYMOND LEE Subordinate Osteopathic Physician 11538 8/13/2020
MESRI, JANET Subordinate Medical Doctor 84001 8/10/2020
MILLER, DONALD Dispensing Physician Assistant Physician Assistant 9114520 7/15/2022
MOGLIA, TIFFANY MARIE Dispensing Physician Assistant Physician Assistant 9114444 7/15/2022
MOLINA-MADRID, MELISSA Dispensing Physician Assistant Physician Assistant 9112588 1/5/2022
MORALES ZAMBRANA, CAMILLE S Dispensing Physician Assistant Physician Assistant 9117174 5/9/2023
MORALES ZAMBRANA, CAMILLE S Prescribing Physician Assistant Physician Assistant 9117174 5/9/2023
MORRIS, SCOTT KIMBERLY Dispensing Physician Assistant Physician Assistant 2885 10/2/2017
NAVAS, STEPHANIE Dispensing Physician Assistant Physician Assistant 9117678 10/21/2024
NEWSTEAD, SUZANNE ELIZABETH Dispensing Physician Assistant Osteopathic Physician 11216 8/19/2020
ORTIZ, ELENA MARIA Dispensing Physician Assistant Physician Assistant 9109467 10/11/2018
ORTIZ, MARIA JIMENA Dispensing Physician Assistant Physician Assistant 9109813 8/17/2021
OSORIO, SHANNON M Prescribing Physician Assistant Physician Assistant 9105733 8/6/2024
PANDOLFE, ROBERT Dispensing Physician Assistant Physician Assistant 9109070 1/26/2021
PATEL, NEHA D Dispensing Physician Assistant Physician Assistant 9109904 2/8/2018
PATEL-MILLS, HANNA Dispensing Physician Assistant Physician Assistant 9110040 8/6/2020
PATRICK, JAMES E Dispensing Physician Assistant Physician Assistant 9101332 8/17/2020
PEREIRA, FABIO DAVID Dispensing Physician Assistant Physician Assistant 9109957 8/3/2021
PETERSON, TIMOTHY SCOTT Dispensing Physician Assistant Physician Assistant 9119403 10/21/2024
PETERSON, TIMOTHY SCOTT Prescribing Physician Assistant Physician Assistant 9119403 10/21/2024
RAJA, JAVALIKA GADHIA Dispensing Physician Assistant Physician Assistant 9102156 1/20/2021
REYES, CHRISTOPHER Dispensing Physician Assistant Physician Assistant 9112729 8/10/2021
REYNOLDS, DREW THOMAS Dispensing Physician Assistant Physician Assistant 9111550 3/12/2024
REYNOLDS, DREW THOMAS Prescribing Physician Assistant Physician Assistant 9111550 3/12/2024
ROBERTS, ZACHARY KING Dispensing Physician Assistant Physician Assistant 9118281 2/26/2024
ROBERTS, ZACHARY KING Prescribing Physician Assistant Physician Assistant 9118281 2/26/2024
RODRIGUEZ, GILBERTO Dispensing Physician Assistant Physician Assistant 9108449 8/6/2021
RODSKI, SYDNEY NICOLE Dispensing Physician Assistant Physician Assistant 9112547 1/31/2024
RODSKI, SYDNEY NICOLE Prescribing Physician Assistant Physician Assistant 9112547 1/31/2024
ROMERO, ASAHEL Prescribing Physician Assistant Physician Assistant 9113763 8/26/2021
RUANO, WENDY NICOLE Dispensing Physician Assistant Physician Assistant 9117940 10/5/2023
RUNK, ROBERT DOUGLAS Dispensing Physician Assistant Physician Assistant 3599 1/29/2021
SALAS, JENNIFER LYNNE Dispensing Physician Assistant Physician Assistant 9104807 8/31/2020
SALMON, SOPHIA SIMONA Dispensing Physician Assistant Medical Doctor 85896 9/25/2021
SAMAAN, DINA Dispensing Physician Assistant Physician Assistant 9118921 8/26/2024
SAMAAN, DINA Prescribing Physician Assistant Physician Assistant 9118921 8/26/2024
SANCHEZ, LEVY Prescribing Physician Assistant Physician Assistant 9100912 1/30/2020
SANTIAGO, LOUIS G Dispensing Physician Assistant Physician Assistant 9113880 9/1/2021
SCOTT, RANDALL EUGENE Dispensing Physician Assistant Physician Assistant 9103913 1/28/2021
SENECAL, DOUGLAS LLOYD Dispensing Physician Assistant Physician Assistant 9103241 12/9/2020
SEREDA, ROMAN YURYEVICH Dispensing Physician Assistant Physician Assistant 9108442 8/20/2020
SIGNORE, STEPHEN JOSEPH MR Dispensing Physician Assistant Physician Assistant 2754 10/9/2024
SIMPSON, ALISON L Dispensing Physician Assistant Medical Doctor 74810 9/22/2020
SINGER, KYLIE ELIZABETH Dispensing Physician Assistant Physician Assistant 9117029 3/20/2023
SINGER, KYLIE ELIZABETH Prescribing Physician Assistant Physician Assistant 9117029 3/20/2023
SKIDMORE, JUSTIN STUART Dispensing Physician Assistant Physician Assistant 9110082 8/15/2020
SKINNER, KEIANA LATREECE Dispensing Physician Assistant Physician Assistant 9113823 8/9/2021
SLACK, KENNETH VERNON Dispensing Physician Assistant Medical Doctor 119973 12/5/2020
SLACK, KENNETH VERNON Subordinate Medical Doctor 119973 12/5/2020
SMITH, AARON Dispensing Physician Assistant Physician Assistant 9111781 7/17/2022
SMITH, MICHAEL Dispensing Physician Assistant Physician Assistant 9110665 7/19/2022
SMITH, REBECCA ANN Dispensing Physician Assistant Physician Assistant 9107542 8/26/2021
SMOLTER, PATRICIA ELIZABETH Dispensing Physician Assistant Osteopathic Physician 12707 8/10/2020
SNIDER, EDGAR HOWARD III Dispensing Physician Assistant Physician Assistant 2867 12/5/2020
SNYDER, CARLY MARIE Subordinate Osteopathic Physician 11593 1/27/2021
SORIANO, LUIS D'MONTIQUE Dispensing Physician Assistant Physician Assistant 9105637 8/11/2020
SPEED, J CHARLES Dispensing Physician Assistant Physician Assistant 9114685 9/1/2021
SPELSBERG, SARAH Dispensing Physician Assistant Physician Assistant 9104066 1/26/2021
STAPLETON, SANDRA KAY Dispensing Physician Assistant Physician Assistant 9101188 1/27/2021
STEARMAN, MARC Dispensing Physician Assistant Physician Assistant 9110806 8/3/2021
STEVENS, KELLY K Dispensing Physician Assistant Physician Assistant 3513 10/2/2017
STONE, ERICA LYN Dispensing Physician Assistant Physician Assistant 9109992 8/17/2020
SWANSON, KELLI ANN Dispensing Physician Assistant Physician Assistant 9116483 12/5/2022
SWANSON, KELLI ANN Prescribing Physician Assistant Physician Assistant 9116483 12/5/2022
TAFT, JESSICA ROBINSON Dispensing Physician Assistant Physician Assistant 9109337 2/8/2018
THERNELUS, MARC AMOS Dispensing Physician Assistant Physician Assistant 9113565 1/17/2023
THOMAS, ROBERT LOUIS Dispensing Physician Assistant Osteopathic Physician 8592 8/18/2020
THOMAS, ROBERT LOUIS Subordinate Osteopathic Physician 8592 8/20/2020
THOMAS, SHIRLETTE DEBRA Dispensing Physician Assistant Physician Assistant 9105819 8/10/2020
THOMPSON, MATTHEW DAVID Dispensing Physician Assistant Physician Assistant 9111405 11/13/2022
TIGHT, DOUGLAS F Dispensing Physician Assistant Physician Assistant 3407 8/5/2020
TRAN, BRIAN HOANG Subordinate Osteopathic Physician 10404 1/5/2021
TRAVERS, AMARA ELIZABETH Dispensing Physician Assistant Physician Assistant 9108431 4/25/2018
TRIPI, KATHERINE DELPHINE Dispensing Physician Assistant Physician Assistant 9107339 7/25/2022
TULSIAK, DAVID F Subordinate Medical Doctor 44589 8/19/2020
VALENTE, VINCENT GERARD DO Subordinate Osteopathic Physician 10118 1/5/2021
WELLS, YASMIN Dispensing Physician Assistant Physician Assistant 9119225 9/23/2024
WELLS, YASMIN Prescribing Physician Assistant Physician Assistant 9119225 9/23/2024
WHEELER, SCOTT A Dispensing Physician Assistant Physician Assistant 9105729 7/18/2022
WIDNER, LAUREN BROOKE Dispensing Physician Assistant Physician Assistant 9105907 8/1/2021
WIEDMAN, JULIE CLAIRE Dispensing Physician Assistant Physician Assistant 9107571 4/25/2018
WILLBUR, TAYLOR MARIE Dispensing Physician Assistant Physician Assistant 9114038 7/18/2022
WILSON, KADINE TASHIKA Prescribing Physician Assistant Physician Assistant 9116408 12/14/2022
WOHLTMAN, RENEE Dispensing Physician Assistant Physician Assistant 9111408 8/5/2020
WOODS VIZCAINO, RADHARANI Dispensing Physician Assistant Physician Assistant 9109881 1/31/2021
WOZNICKI, MICHELLE M Dispensing Physician Assistant Physician Assistant 9115423 4/13/2023
WOZNICKI, MICHELLE M Prescribing Physician Assistant Physician Assistant 9115423 4/13/2023
ZOINO, ALBERICO Subordinate Osteopathic Physician 7522 8/13/2020

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** 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.


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