License Verification

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GAUTAM VIVEK MATCHA

License Number: ME118355

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME118355
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
12/20/2013
Address of Record
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
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
DENTON, JESSICA ASHLEY Prescribing Physician Assistant Physician Assistant 9115665 6/1/2022
DUBEY, JESSE VINCENT Prescribing Physician Assistant Osteopathic Physician 13099 7/23/2020
FELIX, HEIDI MARIE Prescribing Physician Assistant Physician Assistant 9110200 7/23/2022
FREELS, NATALIE MICHELLE Prescribing Physician Assistant Physician Assistant 9116587 11/22/2022
HANEY, AMY ARNOLD Prescribing Physician Assistant Physician Assistant 9102451 2/16/2021
HODSDON, CATHERINE MARY RICHARDSON Prescribing Physician Assistant Physician Assistant 9114183 5/3/2021
JOYCE, NICOLE ELIZABETH Subordinate Medical Doctor 128255 3/29/2021
JOYCE, WILLIAM JOHN Prescribing Physician Assistant Physician Assistant 9112315 3/11/2020
OSBORNE, TINA MARIE MRS Prescribing Physician Assistant Physician Assistant 9109553 2/16/2021
WIERINGA, KIMBERLY MATTSON Prescribing Physician Assistant Physician Assistant 9105525 6/23/2020

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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.