License Verification
JENNIFER MORAN WALLACE
License Number: PA9104356
Data As Of 4/25/2025
- Address
- 119 Oakfield Dr.
- BRANDON, FL 33511
- Address
- 5234 East Fowler Ave ER 24/7 Temple Terrace
- TEMPLE TERR, FL 33617

Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BEFELER, ADAM ROSS | Supervising Prescribing Practitioner | Medical Doctor | 127779 | 05/24/2017 |
JOBE, KIRK WAYNE M D | Supervising Prescribing Practitioner | Medical Doctor | 93476 | 05/24/2017 |
SHORTER, CEDRIC DEWAYNE | Supervising Prescribing Practitioner | Medical Doctor | 117022 | 05/24/2017 |
STENGEL, THOMAS JOSEPH MD | Supervising Prescribing Practitioner | Medical Doctor | 81023 | 05/24/2017 |
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Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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No Continuing Education Hours Received from Approved Providers As Of 4/25/2025
* 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.