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JEREMY FECHTER KIRTZ

License Number: ME108993

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME108993
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
01/31/2011
Address of Record
7171 N Dale Mabry Ave
ATTN: Emergency Department
TAMPA, FL 33614
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
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 12/13/2023
FOPPE, MARK ANDREW DO Supervisor Osteopathic Physician 8701 09/01/2020
LEBLANC, LOUIS JOSEPH Supervising Prescribing Practitioner Medical Doctor 116958 01/10/2023
LEE, EUGENE C Supervising Prescribing Practitioner Medical Doctor 115521 01/10/2023
LISANKIE, MATTHEW JOSEPH II Supervising Prescribing Practitioner Medical Doctor 132249 01/10/2023
LOYD, ANNA MAE Supervising Prescribing Practitioner Osteopathic Physician 12492 01/10/2023
MADAR, MERCI GRACE Supervising Prescribing Practitioner Medical Doctor 117554 01/10/2023
MALAGON, BRITTANY FAYE Supervising Prescribing Practitioner Medical Doctor 140228 01/10/2023
MARGERUM, GAIL SHAW Supervising Prescribing Practitioner Medical Doctor 98283 01/10/2023
MARTINO, ELIZABETH Supervising Prescribing Practitioner Medical Doctor 140956 01/10/2023
MATHUR, MONAL PATEL Supervising Prescribing Practitioner Medical Doctor 101062 01/10/2023
MATHUR, RAJNEESH Supervising Prescribing Practitioner Osteopathic Physician 10264 01/10/2023
MAYZ, KURTIS Supervising Prescribing Practitioner Medical Doctor 148675 01/10/2023
MCINTOSH, SAMANTHA ALEXINE Supervising Prescribing Practitioner Medical Doctor 145422 01/10/2023
MCKINLEY, GENEVIEVE Supervising Prescribing Practitioner Medical Doctor 140840 01/10/2023
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 01/10/2023
MILLS, TYLER Supervising Prescribing Practitioner Osteopathic Physician 18796 01/10/2023
NANAVATI, POOJA Supervising Prescribing Practitioner Medical Doctor 131540 01/10/2023
NAPPI, ALEX Supervising Prescribing Practitioner Medical Doctor 125466 01/10/2023
NEWMAN, ALISA JANELL Supervising Prescribing Practitioner Medical Doctor 146748 01/10/2023
ORTOLANI, MARK TIMOTHY Supervising Prescribing Practitioner Medical Doctor 156092 01/10/2023
PACHECO, AMANDA Supervising Prescribing Practitioner Osteopathic Physician 18694 01/10/2023
PARKS, SHAINA Supervising Prescribing Practitioner Osteopathic Physician 16980 01/10/2023
PARTYKA, BRONISLAW J Supervising Prescribing Practitioner Medical Doctor 114822 01/10/2023
PATCH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 132395 01/10/2023
PEPE, JOSEPH JR Supervising Prescribing Practitioner Osteopathic Physician 16193 01/10/2023
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 01/10/2023
PIGMAN, EDWIN CARY MD Supervising Prescribing Practitioner Medical Doctor 66985 01/10/2023
PORTO, ADRIANA Supervising Prescribing Practitioner Medical Doctor 143122 01/10/2023
POUND, AMY MARIE Supervising Prescribing Practitioner Medical Doctor 148582 01/10/2023
PRATOR, PAUL CARL M D Supervising Prescribing Practitioner Medical Doctor 92865 01/10/2023
PURCELL, JENNIFER Supervising Prescribing Practitioner Osteopathic Physician 18765 01/10/2023
RADFORD, SHAWN Supervising Prescribing Practitioner Medical Doctor 143947 01/10/2023

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

Name Relationship Profession License Effective Date
ABBOTT, SHERYL LYNN Prescribing Physician Assistant Physician Assistant 9116106 2/1/2023
ARTIME, EMILY Prescribing Physician Assistant Physician Assistant 9115693 8/26/2022
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/1/2017
BARNES, JULIE ANNE Prescribing Physician Assistant Physician Assistant 9102569 8/26/2022
BARNES, RICHARD R JR Prescribing Physician Assistant Medical Doctor 69285 6/27/2024
BEAUCHAMP, STEFANIE Prescribing Physician Assistant Physician Assistant 9115527 8/26/2022
BOLTON, ASHLEY MARIE Prescribing Physician Assistant Physician Assistant 9108069 3/21/2023
BOWMAN, RYAN SCOTT Prescribing Physician Assistant Physician Assistant 9117823 9/12/2023
BREEN, JENA LYNN Prescribing Physician Assistant Physician Assistant 9108857 8/26/2022
CASELLAS, AMBER CHEYENNE Prescribing Physician Assistant Physician Assistant 9109320 8/26/2022
CLINE, JESSICA MARIE LYNN Prescribing Physician Assistant Physician Assistant 9116036 10/20/2023
COLLOM, NEIL EDWARD Prescribing Physician Assistant Physician Assistant 9111249 11/15/2024
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
CRAMER, GREGORY ROBERT Prescribing Physician Assistant Physician Assistant 9116628 1/9/2023
CRAWFORD, PERRY WILLIAM Prescribing Physician Assistant Physician Assistant 9113494 8/11/2023
CUNNINGHAM, ANDREW Prescribing Physician Assistant Physician Assistant 9112114 8/26/2022
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/21/2016
DAVIES, MELANIE JAYNE Prescribing Physician Assistant Physician Assistant 9109114 8/26/2022
DAWKINS, DONALD Prescribing Physician Assistant Osteopathic Physician 10160 10/19/2023
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 8/26/2022
DIEHL, NATHAN JEROLD Prescribing Physician Assistant Physician Assistant 9113328 3/21/2023
DOLAN, NICHOLAS ALEXANDER Prescribing Physician Assistant Physician Assistant 9113623 2/16/2023
DUNNE, SARA BETH Prescribing Physician Assistant Physician Assistant 9107146 8/26/2022
EVANGELISTI, MINDY Prescribing Physician Assistant Physician Assistant 9118901 7/9/2024
FASIUDDIN, NAJAM Prescribing Physician Assistant Osteopathic Physician 15006 7/14/2023
FELDMAN, TRAVIS SCOTT Prescribing Physician Assistant Physician Assistant 9110309 1/10/2023
FODERA, FRANK ANTHONY Prescribing Physician Assistant Physician Assistant 9117300 5/25/2023
FREEMAN, KELLIE CHRISTINE Prescribing Physician Assistant Physician Assistant 9110742 8/1/2024
GLEAVES, RACHEL Prescribing Physician Assistant Physician Assistant 9117325 5/19/2023
GOGLIO, ALEC PERRY Prescribing Physician Assistant Physician Assistant 9117740 9/1/2023
HALLOWAY, HILLARY SLOANE Prescribing Physician Assistant Physician Assistant 9102500 12/31/2015
HARDEN, KYLE Prescribing Physician Assistant Physician Assistant 9113509 3/21/2023
HAVERCHAK, ALEXANDRA Prescribing Physician Assistant Physician Assistant 9115748 3/15/2022
HODES, JAMIE LEE Prescribing Physician Assistant Physician Assistant 9109515 11/16/2016
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 1/10/2023
KAZAR, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9117682 9/20/2023
KHURRAM, SEHRISH Prescribing Physician Assistant Physician Assistant 9118360 8/1/2024
KINSEY, RICHARD RAYMOND JR Prescribing Physician Assistant Physician Assistant 9101145 2/25/2022
KUPKE, WILLIAM ROBERT Prescribing Physician Assistant Physician Assistant 9113667 1/7/2022
LIVOTI, REINALDO Prescribing Physician Assistant Physician Assistant 9118153 10/30/2023
MAFFEO, HEATHER NICOLE Prescribing Physician Assistant Physician Assistant 9117673 7/28/2023
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/18/2017
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
MONROE, BRADLEY SEAN Prescribing Physician Assistant Physician Assistant 9115248 1/10/2023
NICHOLS, ALEXANDER CARL Prescribing Physician Assistant Physician Assistant 9117561 7/12/2023
O'SHELL, COLLEEN MARIE Prescribing Physician Assistant Physician Assistant 9109521 8/5/2016
PABST II, DAVID J Prescribing Physician Assistant Physician Assistant 9117468 5/25/2023
PARKS, THOMAS EDWARD Prescribing Physician Assistant Physician Assistant 9105210 1/10/2023
PASHEGOBA, STEVEN LEE Prescribing Physician Assistant Physician Assistant 9101722 1/10/2023
PELLISSIER, OLIVIA MARIE Prescribing Physician Assistant Physician Assistant 9118062 10/19/2023
RESTREPO, GLISET Prescribing Physician Assistant Physician Assistant 9110146 1/10/2023
RIZZO, MARISSA Prescribing Physician Assistant Physician Assistant 9114944 3/21/2023
SCHLEIF, ROBERT DAVID Prescribing Physician Assistant Physician Assistant 9112559 8/26/2022
SMITH, ALLISTAIR Prescribing Physician Assistant Physician Assistant 9111535 11/20/2022
SORDAN, MICHAEL ROLF Prescribing Physician Assistant Physician Assistant 9115648 3/1/2022
STINEBECK, JARED C Prescribing Physician Assistant Physician Assistant 9105546 1/10/2023
SUCKOW, WENDY SUE Prescribing Physician Assistant Physician Assistant 9101731 1/10/2023
SUSSMAN, MICHAEL LORNE Prescribing Physician Assistant Physician Assistant 9107280 2/8/2016

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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.