License Verification

Printer Friendly Version

MINDY MAE BRYDE

License Number: PA9109096

Data As Of 12/24/2024

Profession
Physician Assistant
License
PA9109096
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/28/2015
Address of Record
7331 College Parkway
Suite 300
FORT MYERS, FL 33907
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
9500 Gulf Research Lane Performance Health Surgery Center
FORT MYERS, FL 33912
Address
2776 Cleveland Ave Lee Memorial Hospital
FORT MYERS, FL 33901
Name Relationship Profession License Effective Date
HENN, JEFFREY SCOTT MD Supervising Prescribing Practitioner Medical Doctor 85279 06/26/2017

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

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 12/25/2024



* 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.