License Verification

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MITCHELL DEAN MAULFAIR

License Number: OS7054

Data As Of 11/21/2024

Profession
Osteopathic Physician
License
OS7054
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
07/06/1995
Address of Record
343 W Canton Ave
Winter Park Fire Dept.
WINTER PARK, FL 32789
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
DURFEE, RYAN ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 129229 05/21/2021
DURFEE, RYAN ANTHONY M D Supervisor Medical Doctor 129229 05/21/2021
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 02/22/2022
ZIMMER, BRIAN Supervising Prescribing Practitioner Osteopathic Physician 18890 07/25/2022

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Name Relationship Profession License Effective Date
BURCHENSON, KRYSTA-GAYE LATOYA Prescribing Physician Assistant Physician Assistant 9108009 3/27/2018
GRAHAM, KELLY ANN Prescribing Physician Assistant Physician Assistant 9112573 10/24/2019
HABIB, LAILA NICOLE Prescribing Physician Assistant Physician Assistant 9111509 12/17/2018
LUKASIK, MICHELLE NICOLE Prescribing Physician Assistant Physician Assistant 9111603 12/19/2018
MACKENZIE, WILLIAM CARL Prescribing Physician Assistant Physician Assistant 9112545 10/9/2019
WINTER PARK FIRE RESCUE Service Provider EMS Service Provider ALS 4814 3/4/2019

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Name Relationship Profession License Effective Date

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



* 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.