License Verification

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NICOLE M ELLER

License Number: OS12944

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS12944
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
09/12/2014
Address of Record
151 EAST REDSTONE AVENUNE
CRESTVIEW, FL 32539
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
BULLARD, VANESSA Prescribing Physician Assistant Physician Assistant 9109940 1/14/2022
CARTY, ZACHARY Prescribing Physician Assistant Physician Assistant 9115229 9/26/2022
DOKIANOS, NICHOLAS JOSEPH Prescribing Physician Assistant Physician Assistant 9111676 12/10/2018
HOLLAND, RYLEE PA Prescribing Physician Assistant Physician Assistant 9113645 9/26/2022
TIMM, SAMANTHA KATE Prescribing Physician Assistant Physician Assistant 9112812 9/29/2021

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

Name Relationship Profession License Effective Date

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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.