License Verification

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KIMBERLY DAWN MONROE

License Number: PA9107201

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9107201
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/30/2013
Address of Record
12901 Bruce B Downs Blvd MDC 5
TAMPA, FL 33612
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
CHRISTIANO, DANIELLE MARIE Supervising Prescribing Practitioner Medical Doctor 98327 03/16/2016
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 03/16/2016
DESAI, AJAY Supervising Prescribing Practitioner Osteopathic Physician 12568 03/16/2016
DUBEY, JESSE VINCENT Supervising Prescribing Practitioner Osteopathic Physician 13099 08/08/2016
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 08/08/2016
KOONKITTI, PARICHART CANDY Supervising Prescribing Practitioner Medical Doctor 125284 03/16/2016
NESSELROADE, RYAN DAVID Supervising Prescribing Practitioner Medical Doctor 106189 03/16/2016
OSBORNE, AARON RYAN Supervising Prescribing Practitioner Medical Doctor 108215 03/16/2016
PATEL, TEJAS Supervising Prescribing Practitioner Osteopathic Physician 13790 08/08/2016
SECREST, JULIE K Supervising Prescribing Practitioner Medical Doctor 110718 03/16/2016
SHAH, MANASI SAMIR Supervising Prescribing Practitioner Medical Doctor 127451 08/08/2016
VIBHAKAR, ARJUN Supervising Prescribing Practitioner Medical Doctor 128122 08/08/2016

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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 12/22/2024



* 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.