License Verification

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TRAVIS MICHAEL SMITH

License Number: OS11602

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS11602
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
03/02/2012
Address of Record
238 Canal Blvd
Suite 2
PONTE VEDRA BEACH, FL 32082
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
ANTENUCCI, NICOLE MARIE Prescribing Physician Assistant Physician Assistant 9109691 8/11/2017
BAGGETT, MATTHEW Prescribing Physician Assistant Physician Assistant 9108973 9/5/2018
CHANG, JAMIE ANNETTE Prescribing Physician Assistant Physician Assistant 9109014 10/9/2015
COYLE, MICHAEL JAMES MACLEOD Prescribing Physician Assistant Physician Assistant 9109768 9/14/2018
HOIDA, JEFFREY SCOTT MD Prescribing Physician Assistant Medical Doctor 136257 3/2/2022
KIRKLAND, LAUREN MARIE Prescribing Physician Assistant Physician Assistant 9106295 4/4/2014
MARSHALL, BRENT THOMAS Prescribing Physician Assistant Physician Assistant 9109612 11/1/2016
MCCONAGHY, ADRIENNE NICOLE Prescribing Physician Assistant Physician Assistant 9109671 3/9/2018
UZELAC, KERSTIN A Prescribing Physician Assistant Physician Assistant 9106845 9/15/2016

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

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.