License Verification

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KEVIN EDMUND JOHNSON

License Number: ME124826

Data As Of 4/12/2025

Profession
Medical Doctor
License
ME124826
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
07/07/2015
Address of Record
7460 University Blvd
Suite 110
WINTER PARK, FL 32792
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
410 E Altamonte Dr. Suite 1020
ALTAMONTE SPRINGS, FL 32714
Address
5102 W SR 46
SANFORD, FL 32771
Address
901 Currency Cir Suite 1001
LAKE MARY, FL 32746
Address
8972 Turkey Lake Rd
ORLANDO, FL 32819
Address
805 Co Rd 466
LADY LAKE, FL 32159
Address
1328 N Woodland Blvd
DELAND, FL 32720
Address
92 E Mitchell Hammock Suite 1006
OVIEDO, FL 32765
Address
13935 Landstar Blvd Suite 150
ORLANDO, FL 32824
Address
2438 S Kirkman Rd
ORLANDO, FL 32811
Address
628 US HWY 27 Suite 4
CLERMONT, FL 34714
Address
5845 Winter Garden Vineland Rd
WINDERMERE, FL 34786
Address
4670 Marigold Ave
POINCIANA, FL 34758
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
HUDAK, MATTI ELIZABETH Prescribing Physician Assistant Physician Assistant 9116088 11/14/2023
ROBERTSON, JACOB ANDREW Prescribing Physician Assistant Physician Assistant 9116481 12/11/2023
SHANNON, PAIGE Prescribing Physician Assistant Physician Assistant 9113222 12/15/2023

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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 4/12/2025



* 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.