License Verification

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MARK WILLIAM SNAVELY

License Number: PA9108998

Data As Of 4/29/2025

Profession
Physician Assistant
License
PA9108998
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/09/2015
Address of Record
1286 S. Florida Ave
ROCKLEDGE, FL 32955
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
8059 Spyglass Hill Rd #103
VIERA, FL 32940
Address
4500 S. Hopkins Avenue
TITUSVILLE, FL 32780
Name Relationship Profession License Effective Date
HERMANSDORFER, JOHN D M D Supervising Prescribing Practitioner Medical Doctor 43087 04/04/2017
KELLER, PAUL M Supervising Prescribing Practitioner Medical Doctor 65934 04/04/2017
KIRKPATRICK, RICHARD CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 64220 07/25/2018
MINER, ANDREW GLEN Supervising Prescribing Practitioner Medical Doctor 118731 07/25/2018
PERRY, JOHN JAY Supervising Prescribing Practitioner Medical Doctor 103032 04/04/2017
SEQUEIRA, MARIO JOSE Supervising Prescribing Practitioner Medical Doctor 75673 07/25/2018

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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 4/29/2025



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** 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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