License Verification

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KEVIN FITZGERALD

License Number: ME126226

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME126226
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
11/20/2015
Address of Record
1903 S 25th Street
FORT PIERCE, FL 34947
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10366 US Highway 1
PORT SAINT LUCIE, FL 34952
Address
2349 Vanderbilt Beach Road #508
NAPLES, FL 34109
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ADE HARVEY, VICTORIA LEIGH Prescribing Physician Assistant Physician Assistant 9119341 11/4/2024
ANDREWS, ADRIAN ANTHONY Prescribing Physician Assistant Physician Assistant 9103249 8/1/2023
CLIFTON, LESLIE ANN Prescribing Physician Assistant Physician Assistant 9105201 1/17/2018
CRUZ, YVETTE LYNN Prescribing Physician Assistant Physician Assistant 9104295 1/25/2018
KELLY, CYNTHIA FISCHELL Dispensing Physician Assistant Physician Assistant 9101444 8/1/2020
PATEL, HETAL MIHIR Prescribing Physician Assistant Physician Assistant 9103240 3/27/2018

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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.


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