License Verification

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NATALIE E CONDE

License Number: PA9105106

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9105106
License Status
DELINQUENT/
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2024
License Original Issue Date
08/12/2009
Address of Record
Brandon Regional Hospital
119 Oakfield Drive
BRANDON, FL 33511
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Brandon Regional Hospital 5234 E. Fowler Avenue
TEMPLE TERRACE, FL 33617
Address
Brandon Regional Hospital 3065 James L. Redman Pkwy
PLANT CITY, FL 33566
Address
Brandon Regional Hospital 12512 US Hwy. 301
RIVERVIEW, FL 33578
Address
301 N Alexander Street
PLANT CITY, FL 33563
Address
40100 Highway 27 AdventHealth Heart of Fl Reg Med Ctr
DAVENPORT, FL 33837-5906
Address
17660 Bright Wheat Drive
LITHIA, FL 33547
Address
2600 Westhall Lane AdventHealth Centra Care
MAITLAND, FL 32751
Address
2200 Osprey Blvd Bartow Regional Medical Center
BARTOW, FL 33830-3308
Address
40100 Highway 27 AdventHealth Heart of FL fka Heart of FL Regional Med Ctr
DAVENPORT, FL 33837-5906
Address
410 South 11th Street AdventHealth Lake Wales
LAKE WALES, FL 33853
Address
11403 Thames Fare Way
LITHIA, FL 33547
Name Relationship Profession License Effective Date
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 02/24/2022
ALDAPE, ADOLFO ALEJANDRO Supervising Prescribing Practitioner Medical Doctor 126571 10/04/2021
ALEXANDER, LARRY LEON Supervising Prescribing Practitioner Medical Doctor 80072 08/01/2021
ALZATE, ALBERTO ISAAC Supervising Prescribing Practitioner Medical Doctor 81335 08/01/2021
ARRIAGA-ONEILL, YARITZA MD Supervising Prescribing Practitioner Medical Doctor 111529 08/01/2021
BARLOW, RYAN THOMAS Supervising Prescribing Practitioner Medical Doctor 149752 07/26/2021
BIGGS, FREDERICK SCOTT Supervising Prescribing Practitioner Physician Assistant 9103660 08/01/2021
BRATCHER, MONTEL FRABRECIO Supervising Prescribing Practitioner Medical Doctor 136544 07/29/2021
COBB WEYAND, ALYSSA CLAIRE Supervising Prescribing Practitioner Physician Assistant 9109483 08/01/2021
ECHAGUE COLMAN, RAMON ANTONIO Supervising Prescribing Practitioner Medical Doctor 111476 08/01/2021
FALKOWSKI, ROBERT PAUL SR Supervising Prescribing Practitioner Medical Doctor 60514 08/01/2021
FISHER, ALLEN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 6992 05/01/2020
FREELS, KEVIN Supervising Prescribing Practitioner Medical Doctor 131199 08/01/2021
GOINS, DAVID SCOTT Supervising Prescribing Practitioner Physician Assistant 9102736 08/01/2021
GOORLAND, JEFFREY Supervising Prescribing Practitioner Medical Doctor 136109 08/01/2021
GOYAL, KAMAL KUMAR MD Supervising Prescribing Practitioner Medical Doctor 132449 01/18/2022
JASIMUDDIN, SHEIKH KHWAJA Supervising Prescribing Practitioner Medical Doctor 100463 08/01/2021
LIPSMEYER, CHRISTOPHER PAUL Supervising Prescribing Practitioner Medical Doctor 102475 08/01/2021
MARAVEGIAS, ISMENE NINA Supervising Prescribing Practitioner Medical Doctor 85168 07/23/2021
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 08/01/2021
MORGAN, DANIEL MUZON Supervising Prescribing Practitioner Physician Assistant 9107682 08/01/2021
MOURSI, HOUSAM DO Supervising Prescribing Practitioner Osteopathic Physician 7173 07/25/2021
MURRAY, INGRID RAFAELA Supervising Prescribing Practitioner Physician Assistant 9101723 08/01/2021
NEWHALLER, DANIEL J Supervising Prescribing Practitioner Osteopathic Physician 5594 08/18/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/01/2021
NWAUCHE, UGWUALA Supervising Prescribing Practitioner Medical Doctor 140368 09/02/2021
OCHS, JEFFREY DWAYNE Supervising Prescribing Practitioner Physician Assistant 9106445 08/01/2021
ORBEZO, ANED M Supervising Prescribing Practitioner Medical Doctor 95479 08/01/2021
OWENS, KELLY CAMPBELL Supervising Prescribing Practitioner Physician Assistant 9111980 08/01/2021
PAGAN-RIVERA, REY YAMIL Supervising Prescribing Practitioner Medical Doctor 134981 08/01/2021
PATEL, ANKIT B Supervising Prescribing Practitioner Medical Doctor 142112 08/01/2021
PILGRIM, RANDAL LEE MD Supervising Prescribing Practitioner Medical Doctor 62374 07/24/2021
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 08/01/2021
PRUITT, JAMES ALLEN Supervising Prescribing Practitioner Medical Doctor 142076 08/01/2021
RENNIE, CHAD TROY Supervising Prescribing Practitioner Medical Doctor 151065 09/02/2021
ROWLEY, SHARI LYN DR Supervising Prescribing Practitioner Medical Doctor 120698 08/01/2021
SANTIAGO-APONTE, RAFAEL A Supervising Prescribing Practitioner Medical Doctor 114771 08/16/2021
SHAPIRO, LAUREN Supervising Prescribing Practitioner Medical Doctor 149050 07/01/2021
SHARMA, MIRAND REEB Supervising Prescribing Practitioner Medical Doctor 82852 07/23/2021
SHEPARD, BROOKE MOLYNEUX Supervising Prescribing Practitioner Medical Doctor 97665 07/20/2021
SMITH, JAMES RONALD Supervising Prescribing Practitioner Medical Doctor 88216 07/28/2021
VELASCO, ANDRES FELIPE Supervising Prescribing Practitioner Medical Doctor 96936 08/01/2021
VELASCO, RODRIGO ERNESTO Supervising Prescribing Practitioner Medical Doctor 136030 08/01/2021
VIK, DAVID FRANCIS Supervising Prescribing Practitioner Medical Doctor 131797 08/01/2021
WEAVER, LEAH DARE Supervising Prescribing Practitioner Physician Assistant 9103804 08/01/2021
ZIMMER, BRIAN Supervising Prescribing Practitioner Osteopathic Physician 18890 08/01/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



* 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.