License Verification

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ANGELA ROSE RIVERA

License Number: PA9106652

Data As Of 4/28/2025

Profession
Physician Assistant
License
PA9106652
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/26/2012
Address of Record
1601 sw archer rd
GAINESVILLE, FL 32608
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BARB, ILIE TOMA Supervising Prescribing Practitioner Medical Doctor 112264 06/05/2019
CAPUTO, CHRISTOPHER PATRICK Supervising Prescribing Practitioner Osteopathic Physician 8929 06/05/2019
CROUSHORE, ELMER ELLSWORTH Supervising Prescribing Practitioner Medical Doctor 58091 06/05/2019
DILLON, MICHAEL CARNAHAN Supervising Prescribing Practitioner Medical Doctor 39746 06/05/2019
ESTEL, CHRISTOPHER ERIC Supervising Prescribing Practitioner Medical Doctor 137098 06/05/2019
IMPERI, GREGORY ALEXANDER MD Supervising Prescribing Practitioner Medical Doctor 40340 06/05/2019
JANSEN, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 115185 06/05/2019
KHUDDUS, MATHEEN AHMED Supervising Prescribing Practitioner Medical Doctor 88697 06/05/2019
KOONS, JAY CLYDE Supervising Prescribing Practitioner Medical Doctor 55736 06/05/2019
LEE, ARTHUR CHANG YOUNG Supervising Prescribing Practitioner Medical Doctor 90119 06/05/2019
MANNING III, EDDIE WARD Supervising Prescribing Practitioner Medical Doctor 110105 01/03/2024
O'MEARA, JAMES JOSEPH III Supervising Prescribing Practitioner Medical Doctor 70431 06/05/2019
PONDICHERRY-HARISH, ROJA CHANDRASHEKHAR Supervising Prescribing Practitioner Medical Doctor 136583 06/05/2019
ROARK, STEVEN FOREST Supervising Prescribing Practitioner Medical Doctor 38483 06/05/2019
SMOCK, ANDREW LAWRENCE Supervising Prescribing Practitioner Medical Doctor 69600 06/05/2019
SUBRAMANIAN, NATRAJAN RAJ Supervising Prescribing Practitioner Medical Doctor 104225 06/05/2019
TONG, ANN TRUONG Supervising Prescribing Practitioner Medical Doctor 105109 06/05/2019
TULLI, MARK ANTHONY Supervising Prescribing Practitioner Medical Doctor 96062 06/05/2019
VAN ROY, DANIEL Supervising Prescribing Practitioner Medical Doctor 77995 06/05/2019
WESSEL, TIMOTHY RAY Supervising Prescribing Practitioner Medical Doctor 85153 06/05/2019
ZENTKO, SUZANNE ELIZABETH Supervising Prescribing Practitioner Medical Doctor 108005 06/05/2019

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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 4/28/2025



* 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.