License Verification

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KADEN ROBERT SMITH

License Number: PA9107090

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9107090
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/30/2013
Address of Record
6535 Nemours Parkway
ORLANDO, FL 32827
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AHMED, QADEER Supervising Prescribing Practitioner Medical Doctor 129227 04/05/2018
ANTONYRAJAH, MARIE ANGELINE Supervising Prescribing Practitioner Medical Doctor 120640 04/05/2018
BALDWIN, MARGARET ANN Supervising Prescribing Practitioner Medical Doctor 146064 06/21/2023
BOWEN, AUDREY THERESE MD Supervising Prescribing Practitioner Medical Doctor 65832 04/05/2018
BRIA, CORINNE L Supervising Prescribing Practitioner Medical Doctor 133973 04/05/2018
CHAVDA, KAMAL K Supervising Prescribing Practitioner Medical Doctor 123048 04/05/2018
DOWNING, JEFFREY ADAM Supervising Dispensing Practitioner Osteopathic Physician 7708 07/15/2022
DOWNING, JEFFREY ADAM Supervising Prescribing Practitioner Osteopathic Physician 7708 07/15/2022
ERBRICH, NICOLAS S Supervising Prescribing Practitioner Medical Doctor 129477 04/05/2018
GLASS, TODD FARRYL Supervising Prescribing Practitioner Medical Doctor 111854 04/05/2018
HASH, DAVID HARMON Supervising Prescribing Practitioner Medical Doctor 84745 04/05/2018
ILGENFRITZ, RYAN MATTHEW Supervising Prescribing Practitioner Medical Doctor 119700 06/21/2023
KALIDINDI, SHIVA Supervising Prescribing Practitioner Medical Doctor 112807 04/05/2018
KHOURY, JOSEPH G Supervising Prescribing Practitioner Medical Doctor 130124 06/15/2023
LOVEJOY, JOHN FLETCHER III Supervising Prescribing Practitioner Medical Doctor 119262 06/21/2023
MALONE, JASON BRADLEY Supervising Prescribing Practitioner Osteopathic Physician 14628 06/21/2023
MCCLEARY, MICHAEL DOUGLAS Supervising Dispensing Practitioner Medical Doctor 98424 11/15/2019
MCCLEARY, MICHAEL DOUGLAS Supervising Prescribing Practitioner Medical Doctor 98424 11/15/2019
PEREZ, VANESSA Supervising Prescribing Practitioner Medical Doctor 117030 04/05/2018
STALL, ALEC CHRISTIAN Supervising Prescribing Practitioner Medical Doctor 136094 06/21/2023
STANTON, ROBERT PAGE Supervising Prescribing Practitioner Medical Doctor 34503 06/21/2023
STINSON, ZACHARY SULLIVAN Supervising Prescribing Practitioner Medical Doctor 134381 06/21/2023

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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 12/23/2024



* 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.