License Verification

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GINA VERONICA MENDEZ

License Number: PA9106567

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9106567
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/26/2012
Address of Record
844 West Plymouth Avenue
MiCare Health Clinic
DELAND, FL 32720
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
M 840 Deltona Blvd Micare
DELTONA, FL 32725
Address
7901 4th N Street STE 300
SAINT PETERSBURG, FL 33702
Name Relationship Profession License Effective Date
GILMER, WILLIAM L MD Supervising Prescribing Practitioner Medical Doctor 14430 09/25/2020
HOSTETTER, KURTIS AUBREY Supervising Prescribing Practitioner Medical Doctor 103141 07/31/2017

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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 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.