License Verification

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CINTIA HENRIQUES HULTZ

License Number: PA9109327

Data As Of 5/21/2024

Profession
Physician Assistant
License
PA9109327
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/11/2016
Address of Record
1210 S . old dixie HWy
JUPITER, FL 33458
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
110 Longowood ave
ROCKLEDGE , FL 32955
Name Relationship Profession License Effective Date
ALAKIJA, CHARLES OBAFEMI Supervising Prescribing Practitioner Medical Doctor 80775 08/10/2022
ARMISTEAD, SHANNON ASHLEY Supervising Prescribing Practitioner Osteopathic Physician 17110 04/01/2022
BANERJEE, PUSHPAL R Supervising Prescribing Practitioner Osteopathic Physician 8141 04/01/2022
BEATTY, ROBERT PATRICK Supervising Prescribing Practitioner Medical Doctor 97579 04/01/2022
BUSTAMANTE, CHRISTIAN EDGAR M D Supervising Prescribing Practitioner Medical Doctor 145628 12/15/2023
CONNOLLY, PATRICK J Supervising Prescribing Practitioner Osteopathic Physician 19382 03/29/2023
FORD, ROBERT CHARLES III Supervising Prescribing Practitioner Osteopathic Physician 12456 06/13/2023
GLAZER, KELLY SYLVIA Supervising Prescribing Practitioner Medical Doctor 149363 04/01/2022
HARBOUR, DAVID MARK Supervising Prescribing Practitioner Osteopathic Physician 8124 11/11/2022
HEMINGWAY, THOMAS JARED Supervising Prescribing Practitioner Medical Doctor 153423 03/01/2023
HILL, CHRISTOPHER CAVENAUGH Supervising Prescribing Practitioner Osteopathic Physician 8088 04/02/2022
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 08/20/2021
KAPPER, JORDAN Supervising Prescribing Practitioner Medical Doctor 159916 02/17/2023
KHALAF, MAJID RAFIK MD Supervising Prescribing Practitioner Medical Doctor 87468 01/20/2023
LIN, EDWARD C Supervising Prescribing Practitioner Osteopathic Physician 11547 04/01/2022
MADSEN, ERIK ARTHUR Supervising Prescribing Practitioner Medical Doctor 163200 12/01/2023
MALLORY, GEORGE EDWARD D O Supervising Prescribing Practitioner Osteopathic Physician 5771 04/01/2022
MCINTYRE, MOLLY LAUREN Supervising Prescribing Practitioner Medical Doctor 116923 11/08/2023
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 11/23/2022
MILLER, GLENDESE CAMILLE Supervising Prescribing Practitioner Medical Doctor 104698 04/10/2024
SHORAKA, CAMERON Supervising Prescribing Practitioner Medical Doctor 147021 08/03/2022
STAVROS, MARK GEORGE Supervising Prescribing Practitioner Medical Doctor 71124 10/04/2021
THOMAS, SANDI LYNN Supervising Prescribing Practitioner Osteopathic Physician 9258 04/01/2022
VALLADARES, HORACIO NEMESIO MD Supervising Dispensing Practitioner Medical Doctor 90128 08/09/2016
VALLADARES, HORACIO NEMESIO MD Supervising Prescribing Practitioner Medical Doctor 90128 06/02/2016
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 04/01/2022

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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 5/21/2024



* 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.