License Verification

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DENISE ELIZABETH AGATEP

License Number: ME90631

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME90631
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/17/2004
Address of Record
12421 South Orange Blossom Tra
ORLANDO, FL 32837
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8119 S. Orange Ave Suite 132
ORLANDO, FL 32809
Address
1750 North Broadway
BARTOW, FL 33830
Address
4780 N Orange Blossom Trl
ORLANDO, FL 32810
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BOXBERGER, LEE ALLEN Prescribing Physician Assistant Physician Assistant 9108451 10/3/2017
COOKE, JENNY VUONG Prescribing Physician Assistant Physician Assistant 9109392 9/21/2016
DOOBAY, PURVEENA SAVITRIE Dispensing Physician Assistant Physician Assistant 9112885 1/9/2024
DOOBAY, PURVEENA SAVITRIE Prescribing Physician Assistant Physician Assistant 9112885 1/9/2024
EDMISTON, MICHAEL Dispensing Physician Assistant Physician Assistant 9113231 11/3/2021
EDMISTON, MICHAEL Prescribing Physician Assistant Physician Assistant 9113231 11/3/2021
GERNIER, EUGENE Dispensing Physician Assistant Physician Assistant 9103150 8/9/2022
HENRY, CASSANDRA FLEMING Dispensing Physician Assistant Physician Assistant 9107186 9/4/2019
HENRY, CASSANDRA FLEMING Prescribing Physician Assistant Physician Assistant 9107186 9/4/2019
JACKSON, DAVID MALCOLM Prescribing Physician Assistant Physician Assistant 9104510 11/22/2016
MAEWEATHERS, EBONIQUE S Dispensing Physician Assistant Physician Assistant 9100975 6/1/2022
WOOD FONTOURA, KYLIE JO Prescribing Physician Assistant Physician Assistant 9109711 6/6/2017

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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 11/22/2024



* 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.