License Verification

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JANICE ELLEN YOLANDE GALLIMORE

License Number: PA9106585

Data As Of 11/24/2024

Profession
Physician Assistant
License
PA9106585
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/15/2012
Address of Record
5380 Tech Data Dr. Suite 101
Envision Physician Services
CLEARWATER, FL 33760
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1431 SW 1st Ave Ocala Regional Medical Center
OCALA, FL 34471
Address
2897 SE Maricamp Rd
OCALA, FL 34471
Address
14193 US-441
SUMMERFIELD, FL 34491
Address
4600 SW 46th Ct West Marion Community Hospital
OCALA, FL 34474
Name Relationship Profession License Effective Date
BOVELL, DON WALDO MD Supervising Dispensing Practitioner Medical Doctor 81076 12/16/2019
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 03/31/2017
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 10/02/2017

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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 11/24/2024



* 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.


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