License Verification

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ROBERT JAMES KEENAN

License Number: ME123918

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME123918
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
04/23/2015
Address of Record
2912 W. WALLCRAFT AVE.
TAMPA, FL 33611
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
GRUBBS, DEANNA MUSSER Prescribing Physician Assistant Physician Assistant 9102760 5/25/2024
KHAKPOUR, NAZANIN Subordinate Medical Doctor 100313 8/1/2020
MOODIE, CARLA CHRISTINA Prescribing Physician Assistant Physician Assistant 9104191 11/5/2021
TEW, JENNA RAE Prescribing Physician Assistant Physician Assistant 9106196 11/5/2021

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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 12/23/2024



* 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.