License Verification

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GERARD J MARTIN

License Number: ME114724

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME114724
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
12/11/2012
Address of Record
8665 NW 186th Street
HIALEAH, FL 33015
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
16620 Sheridan Street
PEMBROKE PINES, FL 33331
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ALVAREZ-JACINTO, MANUEL Dispensing Physician Assistant Physician Assistant 9109866 1/10/2017
ALVAREZ-JACINTO, MANUEL Prescribing Physician Assistant Physician Assistant 9109866 1/10/2017
KUDROWITZ, JONATHAN TROY Prescribing Physician Assistant Physician Assistant 9105136 3/27/2023
MANANA, MERCY Prescribing Physician Assistant Physician Assistant 9116427 11/2/2023
SOUCY, BRIGITTE Dispensing Physician Assistant Physician Assistant 9107377 11/8/2016
SOUCY, BRIGITTE Prescribing Physician Assistant Physician Assistant 9107377 10/13/2016

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 12/23/2024



* 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.


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