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LISA ANN MILLER

License Number: PA9102983

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9102983
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/28/2004
Address of Record
2402 First Blvd, Suite 202
FT PIERCE, FL 34950
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
250 NORTH WICKHAM ROAD MELBOURNE REGIONAL MEDICAL ENTER
MELBOURNE, FL 32935
Name Relationship Profession License Effective Date
ABD EL AZIZ, AHMED ESSAM Supervising Prescribing Practitioner Medical Doctor 168022 06/30/2024
ABOSSALLUE, IMAD Supervising Prescribing Practitioner Medical Doctor 121864 07/26/2021
AMIN, NAUSHAD Supervising Prescribing Practitioner Medical Doctor 108446 08/26/2021
ARIAS, ERICH ALBERTO Supervising Prescribing Practitioner Medical Doctor 101986 12/26/2023
ARMISTEAD, SHANNON ASHLEY Supervising Prescribing Practitioner Osteopathic Physician 17110 08/13/2021
ARNOLD, JOHN L JR Supervising Prescribing Practitioner Medical Doctor 90636 08/02/2021
BALLARD, PATRICK Supervising Prescribing Practitioner Osteopathic Physician 20852 06/12/2024
BARABAS, ALEXANDRU Supervising Prescribing Practitioner Medical Doctor 133657 08/01/2021
BEATTY, ROBERT PATRICK Supervising Prescribing Practitioner Medical Doctor 97579 08/13/2021
BELL, JOHN LUIS Supervising Prescribing Practitioner Medical Doctor 123481 07/30/2021
BENSON, RACHEL Supervising Prescribing Practitioner Medical Doctor 169504 07/31/2024
BOYER, MICHAEL ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 7483 10/12/2023
BRADEN, JOHN EMORY MD Supervising Prescribing Practitioner Medical Doctor 67031 08/01/2024
BRYAN, JENNIFER ANN ADAMS M D Supervising Prescribing Practitioner Medical Doctor 94013 07/01/2021
BUSTAMANTE, CHRISTIAN EDGAR M D Supervising Prescribing Practitioner Medical Doctor 145628 12/15/2023
CONNOLLY, PATRICK J Supervising Prescribing Practitioner Osteopathic Physician 19382 08/05/2024
CRAWFORD FLORIS, RHASHELIA SHANTINI Supervising Prescribing Practitioner Medical Doctor 128488 08/01/2021
DAVIDSON-JOCKOVICH, DAWN MARIE MD Supervising Prescribing Practitioner Medical Doctor 66378 08/02/2021
DOSHI, ANKIT PANKAJ Supervising Prescribing Practitioner Medical Doctor 147032 07/27/2021
ELHEWAN, HASSAN ALI Supervising Prescribing Practitioner Medical Doctor 115741 08/01/2021
FERNANDEZ, JOHN RUSSELL Supervising Prescribing Practitioner Medical Doctor 65400 08/02/2021
FREELS, KEVIN Supervising Prescribing Practitioner Medical Doctor 131199 07/01/2021
GLAZER, KELLY SYLVIA Supervising Prescribing Practitioner Medical Doctor 149363 08/13/2021
GRAHAM, KELLY ANN Supervising Prescribing Practitioner Physician Assistant 9112573 07/24/2021
HARBOUR, DAVID MARK Supervising Prescribing Practitioner Osteopathic Physician 8124 07/01/2021
HESSION, RORY ORLANT Supervising Prescribing Practitioner Medical Doctor 87577 08/01/2021
HILL, DUSTIN NICOLAS Supervising Prescribing Practitioner Medical Doctor 137031 07/24/2021
HOLCOMBE, KEVIN WESTRAY Supervising Prescribing Practitioner Medical Doctor 112246 08/15/2023
KELMENDI, ADRIANNA Supervising Prescribing Practitioner Medical Doctor 137326 07/28/2022
LARICE, WALESKA Supervising Prescribing Practitioner Medical Doctor 117446 08/02/2024
LIN, EDWARD C Supervising Prescribing Practitioner Osteopathic Physician 11547 07/01/2021
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 08/03/2021
MAYOR-DAVIES, JUDY ANN Supervising Prescribing Practitioner Medical Doctor 73801 08/03/2021
MCHALE, MICHAEL SHAMUS Supervising Prescribing Practitioner Osteopathic Physician 6360 07/01/2023
MENDEZ, RONALD ZASHARY Supervising Prescribing Practitioner Medical Doctor 148938 08/01/2021
MITCHELL, CRAIG ROBERT MD Supervising Prescribing Practitioner Medical Doctor 102920 08/03/2021
MITCHELL, WILLIAM CLAY III Supervising Prescribing Practitioner Medical Doctor 129135 07/01/2021
NUNEZ, ANDRES II Supervising Prescribing Practitioner Osteopathic Physician 19071 08/01/2022
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/01/2021
PATEL, CHETAN R Supervising Prescribing Practitioner Medical Doctor 143328 07/01/2021
PATEL, SUMIT SUNIL Supervising Prescribing Practitioner Medical Doctor 135844 07/01/2021
PIERRE, EDECK S Supervising Prescribing Practitioner Medical Doctor 120221 08/01/2021
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 07/01/2021
PITTS, DAPHNE MARIAN MD Supervising Prescribing Practitioner Medical Doctor 90371 10/09/2024
PRIYADARSHI, VIKASH Supervising Prescribing Practitioner Medical Doctor 111767 08/01/2021
RABINOWITZ, JOSEPH HARRAN Supervising Prescribing Practitioner Medical Doctor 141401 11/01/2021
ROTONDO, JOHN ANTHONY Supervising Prescribing Practitioner Medical Doctor 149211 10/24/2021
RUIZ, STEVEN MICHAEL Supervising Prescribing Practitioner Medical Doctor 156997 09/01/2022
SACERIO VALCARCEL, ELVYS Supervising Prescribing Practitioner Medical Doctor 115001 07/27/2021
SAVANI, PARESH D MD Supervising Prescribing Practitioner Medical Doctor 95295 07/01/2021
SZETO, LIAN Supervising Prescribing Practitioner Physician Assistant 9108169 08/03/2021
VELASCO, RODRIGO ERNESTO Supervising Prescribing Practitioner Medical Doctor 136030 08/03/2021
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 08/01/2021
WEAVER, LEAH DARE Supervising Prescribing Practitioner Physician Assistant 9103804 08/01/2021
WILKINSON, JOHN J Supervising Prescribing Practitioner Medical Doctor 131732 10/02/2024
WILSON, HOLLY JO Supervising Prescribing Practitioner Medical Doctor 98782 10/02/2024

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Name Relationship Profession License Effective Date
CASANOVA, ROSE MARIE Prescribing Physician Assistant Physician Assistant 9102253 8/1/2021
CRUZ, CHRISTINE Prescribing Physician Assistant Physician Assistant 9107269 8/1/2021

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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.


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