License Verification
PUSHPAL R. BANERJEE
License Number: OS8141
Data As Of 11/21/2024
- Address
- 2650 WEST STATE RD 434 EXPRESS CARE CLINIC
- LONGWOOD, FL 32779
- Address
- 1201 Cypress Parkway Poinciana
- POINCIANA, FL 34759
- Address
- 5201 Cornell St.
- LAKELAND, FL 33809
- Address
- 911 S Woodrow Wilson UNIT 23
- PLANT CITY, FL 33563
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BALLARD, PATRICK | Supervising Prescribing Practitioner | Osteopathic Physician | 20852 | 06/12/2024 |
GLAZER, KELLY SYLVIA | Supervising Prescribing Practitioner | Medical Doctor | 149363 | 08/13/2021 |
LIPSMEYER, CHRISTOPHER PAUL | Supervisor | Medical Doctor | 102475 | 08/08/2020 |
PATEL, SUMIT SUNIL | Supervisor | Medical Doctor | 135844 | 11/01/2020 |
TANA, CHRISTOPHER FRANK | Supervising Prescribing Practitioner | Osteopathic Physician | 10435 | 06/13/2023 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BAILEY-STULTZ, MAROLDA P | Prescribing Physician Assistant | Physician Assistant | 2031 | 8/1/2021 |
BIGGS, FREDERICK SCOTT | Prescribing Physician Assistant | Physician Assistant | 9103660 | 8/16/2021 |
BLANKENSHIP, COURTNEY ANN | Prescribing Physician Assistant | Physician Assistant | 9106490 | 8/1/2021 |
COVITZ, SHANNON MIXON | Prescribing Physician Assistant | Osteopathic Physician | 11652 | 8/1/2021 |
EMS TEAM LLC | Service Provider | EMS Service Provider ALS | 10065 | 5/30/2023 |
ENNIS, ELIZABETH MARGARET PA-C | Prescribing Physician Assistant | Physician Assistant | 9105563 | 4/27/2017 |
EVERSOLE, KRISTEN SUSSANNE | Prescribing Physician Assistant | Physician Assistant | 9103496 | 8/1/2021 |
GILLESPIE, RITA MARGARET MARY | Prescribing Physician Assistant | Osteopathic Physician | 13077 | 8/1/2021 |
GREENE, RICHARD MICHAEL | Prescribing Physician Assistant | Physician Assistant | 9106015 | 8/16/2021 |
HAMIL, JUSTIN | Prescribing Physician Assistant | Physician Assistant | 9115544 | 2/19/2023 |
HAMILTON, CARLTON CARMICHAEL II | Subordinate | Medical Doctor | 87840 | 3/1/2020 |
HULTZ, CINTIA HENRIQUES | Prescribing Physician Assistant | Physician Assistant | 9109327 | 4/1/2022 |
JOHNSON, IAN JAMES | Prescribing Physician Assistant | Physician Assistant | 9110730 | 2/2/2023 |
LAM, BETHANY-BINH KIET | Prescribing Physician Assistant | Physician Assistant | 9103894 | 8/1/2021 |
LEKAVICH, THOMAS ALEXANDER | Prescribing Physician Assistant | Physician Assistant | 9102189 | 6/12/2023 |
MARTIN, SAMANTHA LEIGH | Prescribing Physician Assistant | Physician Assistant | 9113333 | 8/1/2021 |
MITCHELL, CRAIG ROBERT MD | Subordinate | Medical Doctor | 102920 | 2/26/2021 |
MOODY, NANCY C | Prescribing Physician Assistant | Physician Assistant | 2377 | 8/1/2021 |
NOTMAN, BRITTANY RENEE | Prescribing Physician Assistant | Physician Assistant | 9107171 | 8/16/2021 |
NUNEZ-CUBILLAS, ALBERTO | Prescribing Physician Assistant | Physician Assistant | 9101680 | 8/16/2021 |
OLIVA, JOSEPH WAYNE | Subordinate | Osteopathic Physician | 10074 | 6/1/2021 |
POLK COUNTY BOARD OF COUNTY COMMISSIONER | Service Provider | EMS Service Provider ALS | 5302 | 2/11/2014 |
SERVIAM GROUP LLC | Service Provider | EMS Service Provider BLS | 9009 | 10/31/2023 |
SPENCER, ANDREW JOSEPH | Prescribing Physician Assistant | Medical Doctor | 122767 | 8/1/2021 |
THOMPSON, SARA | Prescribing Physician Assistant | Physician Assistant | 9108278 | 8/16/2021 |
VOGT, JASON M | Prescribing Physician Assistant | Physician Assistant | 9107868 | 8/16/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
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.