License Verification

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SARA THOMPSON

License Number: PA9108278

Data As Of 5/16/2024

Profession
Physician Assistant
License
PA9108278
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/24/2014
Address of Record
1421 Malabar Road
Suite 200
PALM BAY, FL 32907
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
110 Longwood Ave Rockledge Regional Medical Center
ROCKLEDGE, FL 32955-2828
Address
13695 U.S. Highway 1 Sebastian River Medical Center
SEBASTIAN, FL 32958
Address
250 N Wickham Melbourne Regional Medical Center
MELBOURNE, FL 32935-8625
Name Relationship Profession License Effective Date
ALAKIJA, CHARLES OBAFEMI Supervising Prescribing Practitioner Medical Doctor 80775 08/10/2022
ARMISTEAD, SHANNON ASHLEY Supervising Prescribing Practitioner Osteopathic Physician 17110 08/13/2021
BANERJEE, PUSHPAL R Supervising Prescribing Practitioner Osteopathic Physician 8141 08/16/2021
BARABAS, ALEXANDRU Supervising Prescribing Practitioner Medical Doctor 133657 07/01/2021
BRYAN, JENNIFER ANN ADAMS M D Supervising Prescribing Practitioner Medical Doctor 94013 07/01/2021
BUSTAMANTE, CHRISTIAN EDGAR M D Supervising Prescribing Practitioner Medical Doctor 145628 12/15/2023
CONNOLLY, PATRICK J Supervising Prescribing Practitioner Osteopathic Physician 19382 03/29/2023
FERNANDEZ, JOHN RUSSELL Supervising Prescribing Practitioner Medical Doctor 65400 08/02/2021
FORD, ROBERT CHARLES III Supervising Prescribing Practitioner Osteopathic Physician 12456 06/13/2022
FREELS, KEVIN Supervising Prescribing Practitioner Medical Doctor 131199 07/01/2021
GLAZER, KELLY SYLVIA Supervising Prescribing Practitioner Medical Doctor 149363 08/13/2021
HARBOUR, DAVID MARK Supervising Prescribing Practitioner Osteopathic Physician 8124 07/01/2021
HEMINGWAY, THOMAS JARED Supervising Prescribing Practitioner Medical Doctor 153423 03/01/2023
HESSION, RORY ORLANT Supervising Prescribing Practitioner Medical Doctor 87577 08/01/2021
HILL, DUSTIN NICOLAS Supervising Prescribing Practitioner Medical Doctor 137031 07/24/2021
HOLCOMBE, KEVIN WESTRAY Supervising Prescribing Practitioner Medical Doctor 112246 08/15/2023
KAPPER, JORDAN Supervising Prescribing Practitioner Medical Doctor 159916 02/17/2023
LIN, EDWARD C Supervising Prescribing Practitioner Osteopathic Physician 11547 07/01/2021
MADSEN, ERIK ARTHUR Supervising Prescribing Practitioner Medical Doctor 163200 12/01/2023
MAHINDRA, ASHISH Supervising Prescribing Practitioner Medical Doctor 111046 07/26/2018
MALLORY, GEORGE EDWARD D O Supervising Prescribing Practitioner Osteopathic Physician 5771 07/24/2021
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 08/03/2021
MAYOR-DAVIES, JUDY ANN Supervising Prescribing Practitioner Medical Doctor 73801 08/03/2021
MCINTYRE, MOLLY LAUREN Supervising Prescribing Practitioner Medical Doctor 116923 11/08/2023
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 11/23/2022
MITCHELL, CRAIG ROBERT MD Supervising Prescribing Practitioner Medical Doctor 102920 08/03/2021
MITCHELL, WILLIAM CLAY III Supervising Prescribing Practitioner Medical Doctor 129135 07/01/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/02/2021
PATEL, CHETAN R Supervising Prescribing Practitioner Medical Doctor 143328 07/01/2021
PATEL, SUMIT SUNIL Supervising Prescribing Practitioner Medical Doctor 135844 07/01/2021
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 07/01/2021
ROTONDO, JOHN ANTHONY Supervising Prescribing Practitioner Medical Doctor 149211 10/24/2021
SAVANI, PARESH D MD Supervising Prescribing Practitioner Medical Doctor 95295 07/01/2021
SHORAKA, CAMERON Supervising Prescribing Practitioner Medical Doctor 147021 08/03/2022
SZETO, LIAN Supervising Prescribing Practitioner Physician Assistant 9108169 08/03/2021
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 06/13/2023
VELASCO, RODRIGO ERNESTO Supervising Prescribing Practitioner Medical Doctor 136030 08/03/2021
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 08/01/2021
WEAVER, LEAH DARE Supervising Prescribing Practitioner Physician Assistant 9103804 08/01/2021

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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 5/16/2024



* 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.