License Verification

Printer Friendly Version

KIMBERLY MILLER

License Number: PA9109847

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9109847
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/20/2016
Address of Record
5153 N. Ninth Ave
Suite 302
PENSACOLA, FL 32504
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
ALLISS, SAMIR JOSE Supervising Prescribing Practitioner Osteopathic Physician 7247 08/24/2020
BRANTLEY, MITCHELL DAVID Supervising Prescribing Practitioner Medical Doctor 87928 08/24/2020
DOLISTER, MICHAEL JAN Supervising Prescribing Practitioner Medical Doctor 66315 12/18/2023
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 08/24/2020
LUTHIN, WILLIAM NOLAN Supervising Prescribing Practitioner Medical Doctor 122535 12/18/2023
MCINTOSH, NATHAN PHILIP Supervising Prescribing Practitioner Medical Doctor 159274 12/18/2023
MUNCY, TYLAN ANDREW Supervising Prescribing Practitioner Medical Doctor 147733 12/18/2023
NABERS, GREGORY WAYNE Supervising Prescribing Practitioner Medical Doctor 122995 08/24/2020
OWENBY, LAUREN Supervising Prescribing Practitioner Osteopathic Physician 12963 12/18/2023
PATRONI, CLYDE JOSEPH JR Supervising Prescribing Practitioner Medical Doctor 100780 08/24/2020
RILEY, SCOTT IVAN Supervising Prescribing Practitioner Medical Doctor 101153 08/24/2020
TRUJILLO, DEBORAH JOY Supervising Prescribing Practitioner Medical Doctor 146744 12/18/2023
WEHRY, LAURA MCCAULEY Supervising Prescribing Practitioner Medical Doctor 73145 08/24/2020
WELLS, BRANDEN LAMAUND Supervising Prescribing Practitioner Medical Doctor 82540 08/24/2020

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

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 12/22/2024



* 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.