License Verification

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CHARLES EDWARD JOHNSON

License Number: ME110710

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME110710
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
07/29/2011
Address of Record
Prominence 600
8375 Dix Ellis Trail
Suite 201
JACKSONVILLE, FL 32256
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

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Name Relationship Profession License Effective Date
BARMORE, JOSEY OSPINO Prescribing Physician Assistant Physician Assistant 9106790 10/28/2022
CLELAND, SARAH JORDAN Prescribing Physician Assistant Physician Assistant 9109937 10/28/2022
COLEMAN, ANDREW Prescribing Physician Assistant Physician Assistant 9116197 10/28/2022
FERRELL, MICHAEL PATRICK Prescribing Physician Assistant Physician Assistant 9115633 10/28/2022
GIORDANO, KRISTEN NICOLE Prescribing Physician Assistant Physician Assistant 9106324 10/28/2022
HOUSER, TERRY CHEYENNE Prescribing Physician Assistant Physician Assistant 9104296 10/28/2022
KAHL, CHRISTOPHER Prescribing Physician Assistant Physician Assistant 9110297 10/28/2022
KIRTS, CHRISTINE Prescribing Physician Assistant Physician Assistant 9110007 10/28/2022
MORIARTY, MALERIE ROSE Prescribing Physician Assistant Physician Assistant 9105173 10/28/2022
MULLANEY, MOLLY KING Prescribing Physician Assistant Physician Assistant 9106964 10/28/2022
NORTON, ERIN PATRICIA Prescribing Physician Assistant Physician Assistant 9108934 10/28/2022
RADCLIFF, KATIE ADELA Prescribing Physician Assistant Physician Assistant 9111953 10/28/2022
RANGEL, ALEXIS Prescribing Physician Assistant Physician Assistant 9108084 10/28/2022
RIVARD, BRIAN M Prescribing Physician Assistant Physician Assistant 9111639 10/28/2022
SMRTIC, JAMES Prescribing Physician Assistant Physician Assistant 9110342 10/28/2022
VILLANUEVA, COURTNEY ELIZABETH Prescribing Physician Assistant Physician Assistant 9105850 10/28/2022

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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.