License Verification

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BRANDON SCOTT WILSON

License Number: PA9107780

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9107780
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/16/2014
Address of Record
10475 Centurion Parkway N
Suite 220
JACKSONVILLE, FL 32256
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
3055 Cr-210 West Suite 110
SAINT JOHNS, FL 32259
Address
2 Shircliff Way Suite 605
JACKSONVILLE, FL 32204
Address
2627 Riverside Ave Suite 300
JACKSONVILLE, FL 32204
Address
232 Ponte Vedra Park Dr
PONTE VEDRA BEACH, FL 32082
Address
1690 Us Highway 1 South Suite
ST AUGUSTINE, FL 32084
Address
216 south park circle east suite F
ST AUGUSTINE, FL 32086
Address
4565 US Highway 17 Suite 17
FLEMING ISLAND, FL 32003
Address
15255 Max Legget Parkway Suite 5300
JACKSONVILLE, FL 32218
Address
4268 oldfield crossing dr suit
JACKSONVILLE, FL 32223
Name Relationship Profession License Effective Date
HURFORD, ROBERT KENNETH JR Supervising Dispensing Practitioner Medical Doctor 107092 12/07/2023
HURFORD, ROBERT KENNETH JR Supervising Prescribing Practitioner Medical Doctor 107092 12/07/2023

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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.