License Verification
TIMOTHY DALE FOWLER, JR
License Number: PA9110560
Data As Of 12/22/2024
- Address
- 615 N Bonito Avenue
- PANAMA CITY, FL 32401
- Address
- 449 W 23rd Street
- PANAMA CITY, FL 32405
- Address
- 4413 US HWY 31 S
- DEFUNIAK SPRINGS, FL 32435
- Address
- 615 N. BONITA BAY MEDICAL SACRED HEART
- PANAMA CITY, FL 32401
- Address
- 2600 Hospital Drive
- BONIFAY, FL 32425
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ALSHAZLEY, MOUDAR | Supervising Prescribing Practitioner | Medical Doctor | 78728 | 11/15/2017 |
ARBUCKLE, SEAN SR | Supervising Prescribing Practitioner | Osteopathic Physician | 11132 | 09/16/2019 |
CARLSON, WILLIAM SHAW | Supervising Prescribing Practitioner | Medical Doctor | 121446 | 02/07/2018 |
COOK, DARREN LEE | Supervising Prescribing Practitioner | Osteopathic Physician | 5856 | 01/25/2018 |
GAILMARD, WILLIAM ROBERT | Supervising Prescribing Practitioner | Medical Doctor | 138184 | 09/16/2019 |
KALAJI, ZAHER | Supervising Prescribing Practitioner | Medical Doctor | 73792 | 11/15/2017 |
LATHAM, JOSHUA LUKE DO | Supervising Prescribing Practitioner | Osteopathic Physician | 10027 | 02/07/2018 |
NODINE, STEVEN LEE | Supervising Prescribing Practitioner | Osteopathic Physician | 11996 | 03/29/2019 |
NOGGLE, TOMMY STEVEN MD | Supervising Prescribing Practitioner | Medical Doctor | 93880 | 11/09/2017 |
ORBEZO, ANED M | Supervising Prescribing Practitioner | Medical Doctor | 95479 | 01/28/2019 |
PHELPS, ANID ORBEZO | Supervising Prescribing Practitioner | Medical Doctor | 94653 | 01/28/2019 |
SCOTT, JACK DOUGLAS MD | Supervising Prescribing Practitioner | Medical Doctor | 69637 | 09/06/2017 |
SINGLEY, CHRISTOPHER LEE | Supervising Prescribing Practitioner | Medical Doctor | 101636 | 11/15/2017 |
THOMPSON, TOMMY GLEN II | Supervising Prescribing Practitioner | Medical Doctor | 128635 | 11/15/2017 |
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Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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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.