License Verification

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ROBERT CHARLES FORD III

License Number: OS12456

Data As Of 4/29/2024

Profession
Osteopathic Physician
License
OS12456
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
12/19/2013
Address of Record
110 Longwood Ave
ROCKLEDGE, FL 32955
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
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
BENDA, MEGAN NICOLE Prescribing Physician Assistant Physician Assistant 9109829 3/29/2018
BIGGS, FREDERICK SCOTT Prescribing Physician Assistant Physician Assistant 9103660 6/13/2022
BRANDENBURG, ERIC LANCE Prescribing Physician Assistant Physician Assistant 9110259 9/21/2017
FIDELIA, MARTIN ANTONY Prescribing Physician Assistant Physician Assistant 9105354 3/14/2016
GREENE, RICHARD MICHAEL Prescribing Physician Assistant Physician Assistant 9106015 6/13/2022
HAMIL, JUSTIN Prescribing Physician Assistant Physician Assistant 9115544 2/19/2023
HENDRY, DAVID POWELL JR Prescribing Physician Assistant Physician Assistant 9102146 9/7/2022
HULTZ, CINTIA HENRIQUES Prescribing Physician Assistant Physician Assistant 9109327 6/13/2023
INDIAN RIVER SHORES, DEPARTMENT OF PUBLI Service Provider EMS Service Provider ALS 3103 4/14/2016
JOHNSON, IAN JAMES Prescribing Physician Assistant Physician Assistant 9110730 7/2/2023
LEBLANC, JILL ELIZABETH Prescribing Physician Assistant Physician Assistant 9114533 6/13/2022
LLINAS, JACQUELINE B MD Subordinate Medical Doctor 68727 7/28/2020
NOTMAN, BRITTANY RENEE Prescribing Physician Assistant Physician Assistant 9107171 6/13/2022
THOMPSON, SARA Prescribing Physician Assistant Physician Assistant 9108278 6/13/2022
WAYT, WAYNE DREW Prescribing Physician Assistant Physician Assistant 9107235 7/31/2020

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/29/2024



* 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.