License Verification

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MIRNA PEHLIVANOVIC

License Number: PA9110562

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9110562
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/18/2017
Address of Record
15255 Max Leggett Pkwy
JACKSONVILLE, FL 32218
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
ALBURAIH, ABDULAZIZ Supervising Prescribing Practitioner Medical Doctor 140682 09/15/2021
ALENCASTRO PULS, HENRIQUE Supervising Prescribing Practitioner Medical Doctor 166038 08/01/2024
ALLEN, CHELSEA NEVADA Supervising Prescribing Practitioner Osteopathic Physician 18655 07/21/2022
BEARDSLEY, THOMAS Supervising Prescribing Practitioner Medical Doctor 139243 08/30/2019
BRAUD, CHRISTINE MARIE Supervising Prescribing Practitioner Medical Doctor 115103 08/31/2018
BRYANT, LAURIE SUSAN Supervising Prescribing Practitioner Osteopathic Physician 13282 08/03/2022
CARO, DAVID ALAN Supervising Prescribing Practitioner Medical Doctor 73369 08/31/2018
CARR, CASEY TERRY Supervising Prescribing Practitioner Medical Doctor 139535 12/15/2023
CLARE, JONATHAN Supervising Prescribing Practitioner Medical Doctor 145326 06/22/2020
CLUGSTON, CORY ROBERT Supervising Prescribing Practitioner Medical Doctor 155517 07/20/2022
COCCA, RYAN ANDREW Supervising Prescribing Practitioner Medical Doctor 163218 08/07/2024
COLE, JOHN STEPHEN Supervising Prescribing Practitioner Medical Doctor 139230 01/08/2020
COLEMAN, GIA Supervising Prescribing Practitioner Medical Doctor 154246 08/07/2023
DELBIANCO, JOHN DUBOIS Supervising Prescribing Practitioner Medical Doctor 166448 07/19/2024
DEVOS, ELIZABETH LOUISE Supervising Prescribing Practitioner Medical Doctor 96476 08/31/2018
DISHONG, WILLIAM P Supervising Prescribing Practitioner Medical Doctor 116690 08/25/2018
DURAN-GEHRING, PETRA E Supervising Prescribing Practitioner Medical Doctor 91161 08/31/2018
ERASO, DANIEL Supervising Prescribing Practitioner Medical Doctor 135891 09/17/2018
ESCOBAR MEDINA, MICHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 153079 10/04/2021
FISHE, JENNIFER NOEL Supervising Prescribing Practitioner Medical Doctor 129045 08/31/2018
FONTANE, EMILY Supervising Prescribing Practitioner Medical Doctor 99702 08/25/2018
FOX, HANNAH THOMASON Supervising Prescribing Practitioner Medical Doctor 135448 01/30/2020
FRALEY, PAUL RICHARD Supervising Prescribing Practitioner Medical Doctor 134133 09/09/2019
FREDERICKSEN, KIM ANN Supervising Prescribing Practitioner Medical Doctor 126793 08/31/2018
GAGE, CHRISTINE NICOLE Supervising Prescribing Practitioner Osteopathic Physician 18019 07/01/2022
GALWANKAR, SAGAR CHANDRAMOHAN Supervising Prescribing Practitioner Medical Doctor 99954 08/31/2018
GODWIN, STEVEN ANDREWS Supervising Prescribing Practitioner Medical Doctor 74181 08/25/2018
GUIRGIS, FAHEEM WAGID Supervising Prescribing Practitioner Medical Doctor 106205 08/25/2018
HESTER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 141445 08/30/2019
KIEL, JOHN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 15506 09/17/2018
LAMBE, BRYANT M D Supervising Prescribing Practitioner Medical Doctor 129964 08/31/2018
MANNIX, ALEXANDRA LEIGH Supervising Prescribing Practitioner Medical Doctor 135601 09/17/2018
MARTZ, BLAKE AUTRY Supervising Prescribing Practitioner Osteopathic Physician 19896 08/02/2024
MCCLURE, MATTHEW BRYCE Supervising Prescribing Practitioner Medical Doctor 148261 07/20/2022
MORRISSEY, THOMAS KERRY Supervising Prescribing Practitioner Medical Doctor 80734 08/25/2018
NIPPERT, JUSTIN ALAN Supervising Prescribing Practitioner Osteopathic Physician 17348 07/23/2021
PANDEY, AMAN Supervising Prescribing Practitioner Medical Doctor 156224 08/15/2022
PARSONS-TUCKER, MELISSA ERIN Supervising Prescribing Practitioner Medical Doctor 122791 08/31/2018
PATEL, SHAMA Supervising Prescribing Practitioner Medical Doctor 145220 05/08/2020
PEREIRA, CAROLINA CEBIM Supervising Prescribing Practitioner Medical Doctor 122812 08/31/2018
PERRY, PAUL K Supervising Prescribing Practitioner Medical Doctor 40177 08/31/2018
PETERSEN, COURTNEY Supervising Prescribing Practitioner Medical Doctor 162748 07/15/2022
PULS, ASHLEY ERIN Supervising Prescribing Practitioner Medical Doctor 167999 07/15/2022
RASHID, SHAHNAZ Supervising Prescribing Practitioner Medical Doctor 147435 08/23/2023
RIOS, LUIS ERNESTO JR Supervising Prescribing Practitioner Medical Doctor 55184 06/20/2018
ROE, EDWARD JEDD III Supervising Prescribing Practitioner Medical Doctor 118390 08/31/2018
RONEY, NATHAN Supervising Prescribing Practitioner Medical Doctor 159192 11/04/2022
SCHARE, ANDREW IRA Supervising Prescribing Practitioner Medical Doctor 80137 01/08/2020
SCHMIDT, ANDREW CHRISTOPHER Supervising Prescribing Practitioner Osteopathic Physician 12712 08/25/2018
SEGARRA-SALCEDO, ANDREA ALEXANDRA Supervising Prescribing Practitioner Medical Doctor 154732 07/24/2023
SHANNON, ANDREW WHITE Supervising Prescribing Practitioner Medical Doctor 125247 08/25/2018
SHEIKH, SOPHIA SHAHINTAJ Supervising Prescribing Practitioner Medical Doctor 106126 08/25/2018
SHERIFALI, SINEM Supervising Prescribing Practitioner Medical Doctor 113174 08/31/2018
SHIBER, JOSEPH ROBERT Supervising Prescribing Practitioner Medical Doctor 100022 06/08/2018
SUCHENSKI, MAUREEN Supervising Prescribing Practitioner Medical Doctor 137483 11/10/2023
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 08/03/2022
THOMAS, STEPHANIE A Supervising Prescribing Practitioner Osteopathic Physician 17031 06/15/2023
TOPP, STEPHEN SPENCER MD Supervising Prescribing Practitioner Medical Doctor 103463 08/31/2018
V ZQUEZ-FUSTER, NGEL MANUEL Supervising Prescribing Practitioner Medical Doctor 162918 07/01/2024
WILLIAMS, DEBORAH JEAN Supervising Prescribing Practitioner Medical Doctor 112260 08/31/2018
WYLIE, TODD WICK Supervising Prescribing Practitioner Medical Doctor 83747 08/31/2018

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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.