TIMOTHY RONALD MAYNARD
License Number: PA9108404
Data As Of 5/19/2024
| Profession | Physician Assistant |
|---|---|
| License | PA9108404 |
| License Status | CLEAR/Active |
| Qualifications | Prescribing |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 11/24/2014 |
| Address of Record | Excelis Medical Associates |
| 2502 W. Saint Isabel St | |
| TAMPA, FL 33607 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes |
| Discipline on File | No |
| Public Complaint | No |
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