License Verification

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DONNA MARIE BENNETT

License Number: PA9106085

Data As Of 6/3/2025

Profession
Physician Assistant
License
PA9106085
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/21/2011
Address of Record
13681 DOCTOR S WAY
GULF COAST MEDICAL CENTER
FORT MYERS, FL 33912
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2776 Cleveland Ave LEE MEMORIAL HOSPITAL
FORT MYERS, FL 33901
Address
636 Del Prado Blvd. CAPE CORAL HOSPITAL
CAPE CORAL, FL 33990
Name Relationship Profession License Effective Date
ALDANA ALDANA, NELSON NORBERTO Supervising Prescribing Practitioner Medical Doctor 123292 09/29/2016
HORNER, BRIAN JOHN Supervising Prescribing Practitioner Osteopathic Physician 12664 09/29/2016
KHAN, JAVAAD AHMAD Supervising Prescribing Practitioner Medical Doctor 102742 09/29/2016
KOLE, MARILYN Supervising Prescribing Practitioner Medical Doctor 69317 09/29/2016
MANKO, ADAM GRANT Supervising Prescribing Practitioner Medical Doctor 126269 09/29/2016
MEENA, RAGAI THABETNASHED Supervising Prescribing Practitioner Medical Doctor 119278 09/29/2016
PAMMI, SUNIL S Supervising Prescribing Practitioner Medical Doctor 94370 09/29/2016
WILCZYNSKI, STEPHEN W MD Supervising Prescribing Practitioner Medical Doctor 120344 09/29/2016

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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 6/3/2025



* 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.