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JOHN RUSSELL FERNANDEZ

License Number: ME65400

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME65400
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
12/03/1993
Address of Record
3275 sw darwin blvd
PORT SAINT LUCIE, FL 34953
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ARMISTEAD, SHANNON ASHLEY Supervising Prescribing Practitioner Osteopathic Physician 17110 08/13/2021

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Name Relationship Profession License Effective Date
COWLES, DANA NATHANIEL Subordinate Osteopathic Physician 9752 3/30/2021
GAMBINO, THOMAS PAUL Prescribing Physician Assistant Physician Assistant 9101287 8/2/2021
HALL, FREDERICK JOSEPH Prescribing Physician Assistant Physician Assistant 9101624 9/14/2021
JOHNSON, IAN JAMES Prescribing Physician Assistant Physician Assistant 9110730 8/2/2021
LENTZ, JUSTIN Prescribing Physician Assistant Physician Assistant 9117333 10/18/2023
LIN, EDWARD C Subordinate Osteopathic Physician 11547 3/30/2021
MILLER, LISA ANN Prescribing Physician Assistant Physician Assistant 9102983 8/2/2021
SMITH, ALLISTAIR Prescribing Physician Assistant Physician Assistant 9111535 8/2/2021
THOMPSON, SARA Prescribing Physician Assistant Physician Assistant 9108278 8/2/2021
WARE, KEVIN Prescribing Physician Assistant Physician Assistant 9111707 1/23/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* 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.