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PATRICK LEE AGDAMAG

License Number: ME104157

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME104157
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
04/06/2009
Address of Record
205 Dr. Martin Luther King Jr
SAINT PETERSBURG, FL 33701
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/2/2017
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 6/28/2017
BUCKINGHAM, LINDSEY KATHLEEN Prescribing Physician Assistant Physician Assistant 9108258 1/30/2020
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/18/2016
KASTEN, ROBERT LEE Prescribing Physician Assistant Physician Assistant 9106147 1/30/2020
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/17/2017
O'SHELL, COLLEEN MARIE Prescribing Physician Assistant Physician Assistant 9109521 8/5/2016
POST, CYNTHIA SUE Prescribing Physician Assistant Physician Assistant 3617 12/5/2019
STAFF, KRISTINE E Prescribing Physician Assistant Medical Doctor 117924 11/29/2016
SUSSMAN, MICHAEL LORNE Prescribing Physician Assistant Physician Assistant 9107280 12/30/2015

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.