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TERRELL E JOHN SWANSON

License Number: ME111251

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME111251
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/04/2011
Address of Record
1294 Ponte Vedra Blvd
PONTE VEDRA BEACH, FL 32082
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
185 DURBIN STATION COURT SUITE 802
SAINT JOHNS, FL 32259
Name Relationship Profession License Effective Date
AJIT, MALVINDER SINGH Supervising Prescribing Practitioner Medical Doctor 76922 08/02/2023
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 04/25/2022
DEL ROSARIO, CAELYN MARI C Supervising Prescribing Practitioner Medical Doctor 148537 04/22/2022
HAIMS, ZIV AHARON D O Supervising Prescribing Practitioner Osteopathic Physician 11086 09/13/2023
JAVED, ADNAN Supervising Prescribing Practitioner Medical Doctor 139985 08/04/2021
KAPLAN, PETER EVAN Supervising Prescribing Practitioner Medical Doctor 65581 02/07/2024
SCHRIEVER, PAUL RICHARD Supervisor Medical Doctor 115640 10/03/2019
WIEGERS, EDWARD III Supervising Prescribing Practitioner Osteopathic Physician 14844 03/08/2022

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

Name Relationship Profession License Effective Date
ALI, MOHAMED SYAD Prescribing Physician Assistant Physician Assistant 9104732 5/12/2022
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 8/10/2022
BRUCE, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9109680 4/9/2018
BRUNIOUS, BURNELL PAUL Subordinate Medical Doctor 104848 11/1/2018
BURNS, AMANDA MICHELLE Prescribing Physician Assistant Physician Assistant 9116653 10/27/2022
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 3/17/2022
CHAPMAN, JENNIFER COLES Subordinate Medical Doctor 125751 1/6/2021
CRISSMAN, WILLIAM WARD Prescribing Physician Assistant Physician Assistant 9105322 4/19/2018
DJOUINI, MERIEM Prescribing Physician Assistant Physician Assistant 9116041 4/5/2024
DODSON, PATRICK RUSSELL Prescribing Physician Assistant Physician Assistant 9110653 5/23/2018
FEHR, LORI L Prescribing Physician Assistant Physician Assistant 9107477 5/17/2018
FORTNER, DENNIS LEROY III Prescribing Physician Assistant Physician Assistant 9105894 3/29/2018
GLARDON, CHRISTIAN GEORGES Prescribing Physician Assistant Physician Assistant 9105689 3/30/2022
GOINS, DAVID SCOTT Prescribing Physician Assistant Physician Assistant 9102736 3/20/2018
HANDT, TYLER JASON Prescribing Physician Assistant Physician Assistant 9116177 7/13/2022
HINSON, JACOB CODY Prescribing Physician Assistant Physician Assistant 9108842 9/19/2018
HINTON, JENNIFER MARIE Prescribing Physician Assistant Physician Assistant 9103166 5/9/2018
HOFFMAN, SUSAN Prescribing Physician Assistant Physician Assistant 9106725 4/13/2018
JOHNSON, MICHAEL Prescribing Physician Assistant Physician Assistant 9111371 3/30/2022
JURICH, ANGEL CHRISTINE Prescribing Physician Assistant Physician Assistant 9108136 4/9/2018
KHAWAJA, NAWAL Prescribing Physician Assistant Physician Assistant 9116180 7/22/2022
LALLY, JULIANNE Prescribing Physician Assistant Physician Assistant 9110527 11/15/2017
LANGDON, PHILLIP NEIL Prescribing Physician Assistant Physician Assistant 9109345 10/12/2023
LEONIDES, ROCIO Prescribing Physician Assistant Physician Assistant 9111441 3/30/2022
LUKACSA, THOMAS DAVID Prescribing Physician Assistant Physician Assistant 9104358 4/19/2018
MARTIN, AMBER REBEKAH Prescribing Physician Assistant Physician Assistant 9103989 3/27/2018
MARTIN, DEVIN REECE Prescribing Physician Assistant Physician Assistant 9109422 2/13/2018
MCCAFFREY, JENNIFER Prescribing Physician Assistant Physician Assistant 9109282 4/26/2018
MCNEW, FREDERICK JASON Prescribing Physician Assistant Physician Assistant 9102191 4/3/2018
MOFFATT, MEGAN H Prescribing Physician Assistant Physician Assistant 9106786 4/12/2018
MORGAN, DANIEL MUZON Prescribing Physician Assistant Physician Assistant 9107682 3/30/2018
MORRIS, SCOTT KIMBERLY Prescribing Physician Assistant Physician Assistant 2885 4/27/2022
NAYEEM, NAZMUL HASAN Prescribing Physician Assistant Physician Assistant 9117106 2/16/2023
NEW, ANNA RUTH-MILDRED Prescribing Physician Assistant Physician Assistant 9110750 4/12/2018
NICOLOSO, FRANCESCA MARINA Prescribing Physician Assistant Physician Assistant 9107277 4/26/2018
OHLRICH, GREGORY EDWARD Prescribing Physician Assistant Physician Assistant 2883 4/18/2022
PAGE, JOHN D'WAYNE Prescribing Physician Assistant Physician Assistant 9104949 4/15/2022
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 4/1/2022
PITTMAN, CARLOS TERRELL Prescribing Physician Assistant Physician Assistant 9107816 2/22/2023
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 12/10/2018
ROBINSON, CINDY LIZ Prescribing Physician Assistant Physician Assistant 9104267 3/20/2018
SALAS, JENNIFER LYNNE Prescribing Physician Assistant Physician Assistant 9104807 3/31/2022
SASSO, LEONARD GERARD Prescribing Physician Assistant Physician Assistant 9105451 11/8/2017
SAUER, HENRY EDWARD Prescribing Physician Assistant Physician Assistant 9105455 4/12/2022
SIDUN, NICHOLAS Prescribing Physician Assistant Physician Assistant 9116132 7/7/2022
SMIT, MARIA VALENTI Prescribing Physician Assistant Physician Assistant 9105510 3/28/2022
SMITH, CAROLINE OLGA Prescribing Physician Assistant Physician Assistant 9106283 3/30/2018
SMITHBACK, PAIGE CLAIRE Prescribing Physician Assistant Physician Assistant 9117557 8/1/2023
STORK, JERRY LEE JR Prescribing Physician Assistant Physician Assistant 9103513 12/20/2018
UZELAC, KERSTIN A Prescribing Physician Assistant Physician Assistant 9106845 5/11/2018
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 3/31/2022
WARD, MATTHEW MORGAN Prescribing Physician Assistant Physician Assistant 9108249 4/13/2018
WARD, WILLIAM ALBERT Prescribing Physician Assistant Physician Assistant 9108936 4/20/2018
WATERS, DOUGLAS LEE Prescribing Physician Assistant Physician Assistant 9106355 3/29/2018
WEAVER, ADAM CHRISTOPHER Prescribing Physician Assistant Physician Assistant 9103017 4/9/2018
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 4/13/2022
WILSON, SHERENE NASHARA Prescribing Physician Assistant Physician Assistant 9106036 3/8/2022

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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.