License Verification

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JEDLYN PIERRILUS

License Number: ME125995

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME125995
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/27/2015
Address of Record
1301 N CONGRESS AVE
Suite 420
BOYNTON BEACH, FL 33426
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3100 Coral Hills Drive Suite 207 Premise Health
CORAL SPRINGS, FL 33065
Address
2200 VIRGINIA AVENUE Premise Health
FORT PIERCE, FL 34950
Address
5245 41ST STREET CARE HERE
VERO BEACH, FL 32967
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
INDELLICATI, STEFANIE MARIE Dispensing Physician Assistant Physician Assistant 9109630 2/20/2018
INDELLICATI, STEFANIE MARIE Prescribing Physician Assistant Physician Assistant 9109630 2/20/2018
JONES, TASHAN AMOY Dispensing Physician Assistant Physician Assistant 9106564 2/19/2018
JONES, TASHAN AMOY Prescribing Physician Assistant Physician Assistant 9106564 2/19/2018

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

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.