License Verification

Printer Friendly Version

LARISSA SOPHIA DUDLEY

License Number: ME131434

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME131434
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
02/27/2017
Address of Record
2627 West Eau Gallie Blvd.
Suite 101
MELBOURNE, FL 32935
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Melbourne Fire Department 1500 Hickory Street
MELBOURNE, FL 32901
Address
Palm Bay Fire Rescue 899 Carlyle Ave
PALM BAY, FL 32909
Address
Satellite Beach Fire Departmen
SATELLITE BEACH, FL 32937
Address
Malabar Fire Department 1840 Malabar Road
MALABAR, FL 32950
Address
Cocoa Fire Department 1740 Dixon Blvd
COCOA, FL 32922
Address
Rockledge Fire Department 1776 Jack Oates Blvd
ROCKLEDGE, FL 32955
Name Relationship Profession License Effective Date
DEVAUX, MIKAELA ELISE Supervising Prescribing Practitioner Medical Doctor 130853 06/16/2021
DEVAUX, MIKAELA ELISE Supervisor Medical Doctor 130853 05/24/2021
HEIST, DORAN ROBERT MD Supervising Prescribing Practitioner Medical Doctor 111822 06/16/2021
HEIST, DORAN ROBERT MD Supervisor Medical Doctor 111822 05/24/2021
MCGOOHAN, MICHAEL PATRICK DO Supervising Prescribing Practitioner Osteopathic Physician 6325 06/16/2021
MCGOOHAN, MICHAEL PATRICK DO Supervisor Osteopathic Physician 6325 05/24/2021
RAMAGE, DARRON TRAVIS Supervising Prescribing Practitioner Medical Doctor 115024 06/08/2021
RAMAGE, DARRON TRAVIS Supervisor Medical Doctor 115024 05/24/2021

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

Name Relationship Profession License Effective Date
BO, KIRSTEN LEIGH Prescribing Physician Assistant Physician Assistant 9104713 9/22/2017
CALLAHAN, KYLE JONATHAN Prescribing Physician Assistant Physician Assistant 9109286 9/20/2017
CITY OF COCOA/COCOA FIRE DEPARTMENT Service Provider EMS Service Provider ALS 518 10/1/2024
FLYNN, KIMBERLY LOCKWOOD Prescribing Physician Assistant Physician Assistant 9105328 9/26/2017
GRAHAM-LEVY, HALCIAN L Prescribing Physician Assistant Physician Assistant 9103552 9/20/2017
HAGLER, SARA VIRGINIA Prescribing Physician Assistant Physician Assistant 9103008 9/20/2017
HEALTH FIRST-HOLMES REGIONAL MEDICAL CEN Service Provider EMS Service Provider Air 506 7/3/2019
JOCKOVICH, MILAN MD Subordinate Medical Doctor 65559 3/5/2021
MADELON, DEBORAH Prescribing Physician Assistant Physician Assistant 9117704 2/19/2024
MATEY, JENNIFER LYNN Prescribing Physician Assistant Physician Assistant 9108982 8/31/2023
MEGREGIAN, LINDSEY MARKS Prescribing Physician Assistant Physician Assistant 9106660 1/3/2018
MELBOURNE FIRE DEPARTMENT Service Provider EMS Service Provider ALS 513 10/8/2019
NIMETH, MARTINA MARIE Prescribing Physician Assistant Physician Assistant 9102555 2/6/2021
PALM BAY FIRE DEPARTMENT, CITY OF Service Provider EMS Service Provider ALS 508 7/31/2018
PETERSON, JAYME MICHELLE Prescribing Physician Assistant Physician Assistant 9103306 9/26/2017
SANDER, ANDREW THOMAS Prescribing Physician Assistant Physician Assistant 9104502 9/26/2017
SATELLITE BEACH FIRE DEPARTMENT Service Provider EMS Service Provider ALS 510 6/2/2022
SCULLY, KYLE Prescribing Physician Assistant Physician Assistant 9111560 4/15/2020
TURK, ADAM SCOTT Prescribing Physician Assistant Physician Assistant 9106810 9/25/2017
VAN HEMEL, ELIZABETH ANNE Prescribing Physician Assistant Physician Assistant 3575 9/25/2017
VEGA, JOSE' M Prescribing Physician Assistant Physician Assistant 2245 9/25/2017
WELLS, ELIJAH GORDON Prescribing Physician Assistant Physician Assistant 9113266 3/30/2023

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.