License Verification

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MINDY SPORN

License Number: PA9104258

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9104258
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/26/2007
Address of Record
MEMORIAL REGIONAL HOSPITAL
3501 JOHNSON STREET
HOLLYWOOD, FL 33021
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3600 WASHINGTON ST. MEMORIAL REGIONAL HOSPITAL SOUTH
HOLLYWOOD, FL 33021
Address
2277 Palm Beach Lakes Rd
WEST PALM BEACH, FL 33409
Address
West Boca Medical Center 21644 State Rd 7
BOCA RATON, FL 33428
Address
Bethesda Hospital West 9655 Boynton Beach Blvd
BOYNTON BEACH, FL 33472
Address
Bethesda Hospital East 2815 S Seacrest Blvd
BOYNTON BEACH, FL 33435
Name Relationship Profession License Effective Date
ALTER, SCOTT MICHAEL Supervising Prescribing Practitioner Medical Doctor 126449 12/25/2023
ANDERSON, APRIL LAUREN MD Supervising Prescribing Practitioner Medical Doctor 105130 01/17/2023
BADACH, SARAH JANE Supervising Prescribing Practitioner Osteopathic Physician 17592 06/01/2023
BERRY, JERISA Supervising Prescribing Practitioner Osteopathic Physician 12892 08/08/2024
BORMAN, LAURA Supervising Prescribing Practitioner Medical Doctor 136395 01/17/2023
BRUTUS, SARGINE Supervising Prescribing Practitioner Medical Doctor 111878 11/09/2023
BRYAN, GISELA RENATA RAPHAELLE Supervising Prescribing Practitioner Medical Doctor 144752 01/25/2024
BUCKLEY, TIMOTHY PAUL Supervising Prescribing Practitioner Medical Doctor 168319 07/11/2024
BUI, TRIMINH HOANG Supervising Prescribing Practitioner Osteopathic Physician 10539 03/07/2024
CANNON, CHRISTINA MARIA Supervising Prescribing Practitioner Medical Doctor 132084 01/18/2023
CLAYTON, LISA MARIE Supervising Prescribing Practitioner Osteopathic Physician 14059 12/28/2023
DUNLAP, KRISTEN JEAN M D Supervising Prescribing Practitioner Medical Doctor 122435 01/17/2023
DVOR, NATHAN Supervising Prescribing Practitioner Medical Doctor 141456 01/17/2023
DZIK, JUSTIN NOEL Supervising Prescribing Practitioner Medical Doctor 114893 01/31/2023
ESTRINE, KAREN MICHELLE Supervising Prescribing Practitioner Osteopathic Physician 10867 01/17/2023
FLETCHER, STEFFEN HASBROUCK Supervising Prescribing Practitioner Medical Doctor 100208 01/17/2023
GARRETT, BRIANNA LYNNE Supervising Prescribing Practitioner Medical Doctor 104197 01/17/2023
GONZALEZ, JOSE M MD Supervising Prescribing Practitioner Medical Doctor 70122 01/17/2023
GOODHUE, BRIAN Supervising Prescribing Practitioner Osteopathic Physician 16414 05/01/2023
HARTNETT, DAVID Supervising Prescribing Practitioner Medical Doctor 152121 01/27/2024
HASSAN, MURYUM Supervising Prescribing Practitioner Osteopathic Physician 20941 05/02/2024
HATOUM, ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 143175 05/01/2023
JEANNOT, CHRISTIAN Supervising Prescribing Practitioner Medical Doctor 132971 03/29/2024
LEVY, BRIAN EDWARD Supervising Prescribing Practitioner Medical Doctor 155132 08/15/2023
MCGARRY, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 145599 01/17/2023
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 01/17/2023
MESUK, JEFFREY L Supervising Prescribing Practitioner Medical Doctor 76098 01/28/2023
MORAES, BRUNO Supervising Prescribing Practitioner Osteopathic Physician 19368 11/02/2023
OBERST, ALLISON SEREY Supervising Prescribing Practitioner Medical Doctor 156301 08/07/2024
PAPAZIAN, KATHLEEN IVY Supervising Prescribing Practitioner Osteopathic Physician 18744 05/15/2023
PETERSON, THOMAS REX Supervising Prescribing Practitioner Osteopathic Physician 18616 01/17/2023
PILLITTERI, RIAN JOHN MD Supervising Prescribing Practitioner Medical Doctor 113299 01/18/2023
POPOVETSKY, GARY Supervising Prescribing Practitioner Osteopathic Physician 11198 01/17/2023
POSAW, LEILA LATIKA Supervising Prescribing Practitioner Medical Doctor 76137 01/17/2023
RABOLLI, JULIA Supervising Prescribing Practitioner Osteopathic Physician 15707 05/15/2023
ROBERTS, KENNETH WAYNE Supervising Prescribing Practitioner Medical Doctor 153623 04/05/2024
RODRIGUEZ, FRANCES Supervising Prescribing Practitioner Medical Doctor 63807 01/17/2023
SABBANI, ASHWIN KRISHNA MD Supervising Prescribing Practitioner Medical Doctor 127802 03/01/2024
STEIN, LAUREN COURTNEY DO Supervising Prescribing Practitioner Osteopathic Physician 13110 01/17/2023
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 01/18/2023
TAYLOR, KEVIN LEE Supervising Prescribing Practitioner Medical Doctor 116337 01/17/2023
THURBER, JALIL ABDU'LLAH Supervising Prescribing Practitioner Medical Doctor 96017 03/11/2024
TSEKHANOV, SERGEY Supervising Prescribing Practitioner Osteopathic Physician 11851 05/02/2024
VARGAS, DAMARIS B Supervising Prescribing Practitioner Osteopathic Physician 10078 01/17/2023
WINOGRAD, JONATHAN ISAAC Supervising Prescribing Practitioner Osteopathic Physician 12008 01/17/2023
ZACHARY, CORINNE M D Supervising Prescribing Practitioner Medical Doctor 77674 01/17/2023
ZIMMERMAN, ETHAN DUANE Supervising Prescribing Practitioner Osteopathic Physician 17256 07/01/2023

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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.