License Verification

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STEPHANIE RENEE BROMBACHER O'CONNELL

License Number: PA9108799

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9108799
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/24/2015
Address of Record
3450 SW HULL ROAD
UF ORTHOPEDICS AND SPORTS MEDICINE
GAINESVILLE, FL 32607
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1515 S.W. ARCHER RD. SHANDS @ UF HEALTH SOUTH TOWER
GAINESVILLE, FL 32610
Address
3480 HULL ROAD FLORIDA SURGICAL CENTER
GAINESVILLE, FL 32607
Address
1600 S.W. ARCHER RD SHANDS @ UF HEALTH NORTH TOWER
GAINESVILLE, FL 32610
Name Relationship Profession License Effective Date
GRAY, CHANCELLOR FOLSOM Supervising Prescribing Practitioner Medical Doctor 124154 01/03/2024
PARVATANENI, HARI KIRAN Supervising Prescribing Practitioner Medical Doctor 98295 01/03/2024

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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.