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RICARDO MARTIN

License Number: PA9106632

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9106632
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/26/2012
Address of Record
303 NORTH CLYDE MORRIS BLVD
HALIFAX HEALTH
DAYTONA BEACH, FL 32114
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1041 DUNLAWTON AVE HALIFAX HEALTH - PORT ORANGE
PORT ORANGE, FL 32127
Address
3300 HALIFAX CROSSING BLVD HALIFAX HEALTH - DELTONA
DELTONA, FL 32725
Name Relationship Profession License Effective Date
BAKER, KRISTEN Supervising Prescribing Practitioner Medical Doctor 136588 10/15/2018
BIRCH, SHELLY ANNE Supervising Prescribing Practitioner Medical Doctor 141349 12/06/2019
BOLLES, GENEVIEVE MAASS Supervising Prescribing Practitioner Medical Doctor 145303 02/22/2021
BONALES, VERONICA Supervising Prescribing Practitioner Medical Doctor 145305 01/22/2021
CASEY, NALINI PILLAI MD Supervising Prescribing Practitioner Medical Doctor 117107 10/15/2018
CHAN, JENNIFER Supervising Prescribing Practitioner Osteopathic Physician 14070 10/15/2018
CLARFIELD, THEODORE HARRISON Supervising Prescribing Practitioner Medical Doctor 139649 02/11/2021
COHEN, ETHAN Supervising Prescribing Practitioner Medical Doctor 121066 10/15/2018
COLLINS, DANIELLE LEANNE Supervising Prescribing Practitioner Medical Doctor 142119 12/06/2019
DALY, ROBERT JOSEPH Supervising Prescribing Practitioner Medical Doctor 123177 10/15/2018
DMOWSKI, ANDRZEJ THADDEUS Supervising Prescribing Practitioner Medical Doctor 79755 02/19/2021
DOAN, HUNG Supervising Prescribing Practitioner Medical Doctor 51040 10/15/2018
GERSHEN, JESSICA BETH Supervising Prescribing Practitioner Medical Doctor 123153 10/15/2018
HALPERN, SHRAVANTI R Supervising Prescribing Practitioner Medical Doctor 125606 12/03/2018
HIGHET, BRIDGET HELEN Supervising Prescribing Practitioner Medical Doctor 116009 12/03/2018
HIRD, CINDY MAY Supervising Prescribing Practitioner Medical Doctor 106849 10/15/2018
HONDERICK, TIMOTHY LOINE MD Supervising Prescribing Practitioner Medical Doctor 31124 10/15/2018
HOROWITZ, RONALD ALEXANDER Supervising Prescribing Practitioner Medical Doctor 140336 12/06/2019
KLEIN, JAMES A M D Supervising Prescribing Practitioner Medical Doctor 54335 12/06/2019
KOCISKO, MATTHEW JOHN Supervising Prescribing Practitioner Medical Doctor 78891 10/15/2018
KOLODCHAK, JENNIFER LYNN Supervising Prescribing Practitioner Medical Doctor 107844 02/14/2021
LAU, ANNIE Supervising Prescribing Practitioner Osteopathic Physician 13737 10/15/2018
LIGHTBURN, WINSTON EDISON Supervising Prescribing Practitioner Medical Doctor 93183 10/15/2018
MACMAHON, KEVIN Supervising Prescribing Practitioner Medical Doctor 41295 10/15/2018
MADEJCZYK, KATARZYNA IRENA Supervising Prescribing Practitioner Medical Doctor 92625 10/15/2018
MEKHAEIL, NATHAN ARNIST Supervising Prescribing Practitioner Medical Doctor 133593 10/15/2018
OETERS, RHONDA CAPPS MD Supervising Prescribing Practitioner Medical Doctor 129876 10/15/2018
OLIVO, MARIA GRACIELA Supervising Prescribing Practitioner Medical Doctor 130670 12/06/2019
PATTERSON, LYLE ZEKE Supervising Prescribing Practitioner Medical Doctor 116727 10/15/2018
PETERSON, DANIEL CHRISTIAN MD Supervising Prescribing Practitioner Medical Doctor 115662 10/15/2018
RINGHAUSER, HOLLY Supervising Prescribing Practitioner Osteopathic Physician 15032 10/15/2018
SALTER, BRENDA HOPKINS Supervising Prescribing Practitioner Medical Doctor 56250 10/15/2018
SILVERMAN, JONATHAN JAY Supervising Prescribing Practitioner Medical Doctor 132918 10/15/2018
SOONTHAROTHAI, REWADEE Supervising Prescribing Practitioner Medical Doctor 108326 10/15/2018
SPRINGER, PETER CHARLES Supervising Prescribing Practitioner Medical Doctor 80538 10/15/2018
TERWILLIGER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 138339 12/06/2019
VIEL, STEPHEN CHARLES Supervising Prescribing Practitioner Medical Doctor 115213 10/15/2018
WILSON, TARA DAYE Supervising Prescribing Practitioner Medical Doctor 81444 10/15/2018
WYSOCKI BROADWATER, JULIANNE Supervising Prescribing Practitioner Osteopathic Physician 16421 02/14/2021

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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.