License Verification

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LEONARD J SPILLERT M.D.

License Number: ME17473

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME17473
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
12/31/1973
Address of Record
YOUTHFUL MEDICAL SPA
150 PROFESSIONAL DRIVE
SUITE 700
PONTE VEDRA BEACH, FL 32082
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
HADDAD, LENA NABEEL Dispensing Physician Assistant Physician Assistant 9109494 1/21/2021
MAHAN, PAMELA J Dispensing Physician Assistant Physician Assistant 2504 6/17/2022
MONTANO, PAMELA PA-C Dispensing Physician Assistant Physician Assistant 2512 5/23/2017

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.