License Verification

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ALLISON MARIE FRIES

License Number: PA9106610

Data As Of 9/28/2024

Profession
Physician Assistant
License
PA9106610
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/05/2012
Address of Record
2700 Riverside Ave
Ste 2
JACKSONVILLE, FL 32205
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1564 Kingsley Ave Ste 300
ORANGE PARK, FL 32073
Address
280 Dundas Ave
JACKSONVILLE, FL 32218
Name Relationship Profession License Effective Date
ALEMAN-BERMUDEZ, JAIME J Supervising Prescribing Practitioner Medical Doctor 49940 04/09/2018
BURNS, PATRICK JAMES Supervising Dispensing Practitioner Osteopathic Physician 9421 08/08/2022
BURNS, PATRICK JAMES Supervising Prescribing Practitioner Osteopathic Physician 9421 08/08/2022
CHEANVECHAI, DAYCHA Supervising Prescribing Practitioner Medical Doctor 76415 04/09/2018
FORSTER, JOHN GEORGE III Supervising Prescribing Practitioner Medical Doctor 69993 04/09/2018
FRALEY, PAUL RICHARD Supervising Prescribing Practitioner Medical Doctor 134133 07/06/2018
GALLO, RENEE ANDRIA Supervising Dispensing Practitioner Medical Doctor 119631 08/08/2022
GALLO, RENEE ANDRIA Supervising Prescribing Practitioner Medical Doctor 119631 08/08/2022
GYARMATHY, RAYMOND HOWARD Supervising Prescribing Practitioner Medical Doctor 53513 04/09/2018
HAYES, JAMES D JR Supervising Prescribing Practitioner Medical Doctor 42140 04/09/2018
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 04/09/2018
KOWALSKI, SCOTT M Supervising Dispensing Practitioner Osteopathic Physician 16975 08/08/2022
KOWALSKI, SCOTT M Supervising Prescribing Practitioner Osteopathic Physician 16975 08/08/2022
MANEES, CHRISTOPHER ROBERT MD Supervising Dispensing Practitioner Medical Doctor 121992 08/08/2022
MANEES, CHRISTOPHER ROBERT MD Supervising Prescribing Practitioner Medical Doctor 121992 08/08/2022
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 04/09/2018
NETZEL, CHRISTOPHER Supervising Dispensing Practitioner Medical Doctor 152100 08/08/2022
NETZEL, CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 152100 08/08/2022
PAPAVASILIOU, JOHN JOSEPH Supervising Prescribing Practitioner Medical Doctor 66371 04/09/2018
POWELL, KENNETH A Supervising Dispensing Practitioner Osteopathic Physician 10548 08/08/2022
POWELL, KENNETH A Supervising Prescribing Practitioner Osteopathic Physician 10548 08/08/2022
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 04/09/2018
ROSEL, GEORGANNA MICHELLE Supervising Prescribing Practitioner Medical Doctor 134082 07/06/2018
SCHIMPFF, SCOTT NELSON Supervising Dispensing Practitioner Medical Doctor 115646 08/08/2022
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 04/09/2018
ZAGER, SCOTT LAWRENCE Supervising Prescribing Practitioner Medical Doctor 91062 04/09/2018

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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 9/28/2024



* 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.