License Verification

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AMANDA HUNTLEY

License Number: PA9109747

Data As Of 12/25/2024

Profession
Physician Assistant
License
PA9109747
License Status
DELINQUENT/
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2024
License Original Issue Date
09/06/2016
Address of Record
1055 Saxon Blvd
Advent Health Fish Memorial Hospital
ORANGE CITY, FL 32763
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
301 Memorial Medical Parkway
DAYTONA BEACH, FL 32117
Address
60 Memorial Medical Parkway
PALM COAST, FL 32164
Name Relationship Profession License Effective Date
AL HASAN, MUTHANNA Supervising Prescribing Practitioner Medical Doctor 133300 03/05/2022
ARCOT, DILIP VISWANATH M D Supervising Prescribing Practitioner Medical Doctor 89716 03/03/2022
HAMARNEH, WASIM Supervising Prescribing Practitioner Medical Doctor 137736 03/17/2022
RAMON, HUGO JOSE Supervising Prescribing Practitioner Medical Doctor 89166 03/10/2022
WELLS, FLOYD WHITFIELD MD Supervising Prescribing Practitioner Medical Doctor 70827 03/03/2022

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/25/2024



* 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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