License Verification

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GARY R SNELLER II

License Number: PA9106685

Data As Of 6/7/2025

Profession
Physician Assistant
License
PA9106685
License Status
DELINQUENT/
Qualifications
Prescribing
License Expiration Date
1/31/2024
License Original Issue Date
07/19/2012
Address of Record
1034 MAR WALT DRIVE
SUITE 100
FORT WALTON BEACH, FL 32547
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
554 D Twin Cities Blvd.
NICEVILLE, FL 32578
Address
36474 Emerald Coast Prkwy Bldg C Ste 3101
DESTIN, FL 32541
Name Relationship Profession License Effective Date
TENHOLDER, MARK JOSEPH Supervising Prescribing Practitioner Medical Doctor 89699 03/30/2017

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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 6/7/2025



* 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.