License Verification

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JUSTIN DAVID MANN MD

License Number: ME128030

Data As Of 12/24/2024

Profession
Medical Doctor
License
ME128030
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/22/2016
Address of Record
5191 First Coast Tech Pkwy
3rd Floor
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Yes
Discipline on File
No
Public Complaint
No
Address
1351 13th Avenue S Suite 120
JACKSONVILLE BEACH, FL 32250
Address
15255 Max Leggett Pkwy Suite 5500
JACKSONVILLE, FL 32218
Address
2550 Park Street Suite B
JACKSONVILLE, FL 32204
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ARINELLO, MALLORY PARRISH Prescribing Physician Assistant Physician Assistant 9113116 6/30/2022
BETTIS, ELIZABETH RAYE Prescribing Physician Assistant Physician Assistant 9110699 10/5/2021
CLEMONS, CARSON MITCHELL Prescribing Physician Assistant Physician Assistant 9114474 10/5/2021
CRISWELL, COURTNEY RAE Prescribing Physician Assistant Physician Assistant 9111862 3/16/2020
MASSEY, JOSHUA BRIAN Prescribing Physician Assistant Physician Assistant 9104570 6/19/2019
TRACE, TAYLOR Prescribing Physician Assistant Physician Assistant 9112637 3/16/2020

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 12/24/2024



* 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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