License Verification

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MARTHA ELIZABETH WINGARD

License Number: PA9108153

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9108153
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/04/2014
Address of Record
3955 Indian River Blvd
VERO BEACH, FL 32960
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2745 Rebecca Ln
ORANGE CITY, FL 32763
Address
801 Wellness Way Suite 100
SEBASTIAN, FL 32958
Name Relationship Profession License Effective Date
LEUNG, BRIAN CHI-HAU Supervising Prescribing Practitioner Medical Doctor 106310 09/27/2017
PANATTONI FILHO, JOAO BOSCO REZENDE Supervising Dispensing Practitioner Medical Doctor 135226 07/18/2024
PANATTONI FILHO, JOAO BOSCO REZENDE Supervising Prescribing Practitioner Medical Doctor 135226 12/13/2023

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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.