License Verification

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DOUGLAS WARREN GREEN MD

License Number: ME81481

Data As Of 7/7/2024

Profession
Medical Doctor
License
ME81481
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
11/17/2000
Address of Record
2627 WEST EAU GALLIE BLVD
SUITE 101
MELBOURNE, FL 32935
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

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Name Relationship Profession License Effective Date
ADAMS, MITCHELL TRAVIS Prescribing Physician Assistant Physician Assistant 9108882 6/13/2017
CALLAHAN, KYLE JONATHAN Prescribing Physician Assistant Physician Assistant 9109286 5/5/2016
COLON CRUZ, EDDID DAVID Prescribing Physician Assistant Medical Doctor 120690 2/3/2021
JOCKOVICH, MILAN MD Subordinate Medical Doctor 65559 3/5/2021
MADELON, DEBORAH Prescribing Physician Assistant Physician Assistant 9117704 2/19/2024
MATEY, JENNIFER LYNN Prescribing Physician Assistant Physician Assistant 9108982 8/31/2023
NIMETH, MARTINA MARIE Prescribing Physician Assistant Physician Assistant 9102555 2/15/2021
SCULLY, KYLE Prescribing Physician Assistant Physician Assistant 9111560 4/15/2020
SMITH, COREY THOMAS Prescribing Physician Assistant Physician Assistant 9108381 5/19/2016
WELLS, ELIJAH GORDON Prescribing Physician Assistant Physician Assistant 9113266 3/30/2023

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 7/7/2024



* 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.