License Verification

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AMY MARIE ROCKHOLD

License Number: PA9109412

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9109412
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/02/2016
Address of Record
Mease Countryside Hospital
Emergency Room
3231 McMullen Booth Road
SAFETY HARBOR, FL 34695
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
601 Main Street
DUNEDIN, FL 34698
Name Relationship Profession License Effective Date
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 09/01/2023
BALLARINI, V JOSEPH JOHN Supervising Prescribing Practitioner Osteopathic Physician 11220 10/01/2023
BERGMAN, JEFFERY JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 11615 09/01/2023
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 09/25/2023
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 09/25/2023
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 09/25/2023
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 09/15/2023
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 09/15/2023
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 09/15/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
RETTIG, NICOLE ABDO Supervising Prescribing Practitioner Medical Doctor 148575 01/09/2023

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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 12/22/2024



* 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.