License Verification

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KATHERINE HART REHBERG

License Number: PA9105364

Data As Of 5/2/2025

Profession
Physician Assistant
License
PA9105364
License Status
DELINQUENT/
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2024
License Original Issue Date
01/19/2010
Address of Record
5210 WEBB RD
TAMPA, FL 33615
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1005 E. BOYER ST. ACADEMIC ALLIANCE IN DERMATOLOGY
TARPON SPRINGS, FL 34689
Address
3950 3RD ST N STE A
SAINT PETERSBURG, FL 33703
Address
1201 S MYRTLE AVE
CLEARWATER, FL 33756
Address
3165 N. MCMULLEN BOOTH ROAD BLDG B
CLEARWATER, FL 33761
Address
2412 CYPRESS GLENN DR STE 102
WESLEY CHAPEL, FL 33544
Address
4238 W KENNEDY BLVD
TAMPA, FL 33609
Address
131 N OAKWOOD AVE STE 135
BRANDON, FL 33510
Address
13321 N 56TH STREET
TAMPA, FL 33617
Address
2919 W SWANN AVE STE 205
TAMPA, FL 33609
Address
13910 FIVAY RD. STE 5 ACADEMIC ALLIANCE IN DERMATOLOGY
HUDSON, FL 34667
Address
2044 TRINITY OAKS BLVD. STE 222 ACADEMIC ALLIANCE IN DERMATOLOGY
TRINITY, FL 34655
Address
646 VIRGINIA ST. STE. 201 ACADEMIC ALLIANCE IN DERMATOLOGY
DUNEDIN, FL 34698
Address
2044 Trinity Oaks Blvd Suite 130 Academic Alliance in Dermatolgy
NEW PORT RICHEY, FL 34655
Address
1005 E Boyer Street Academic Alliance in Drma
TARPON SPRINGS, FL 34689
Name Relationship Profession License Effective Date
LAM, DAVID ANTHONY Supervising Dispensing Practitioner Medical Doctor 85485 04/14/2016

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/2/2025



* 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.