License Verification

Printer Friendly Version

ROBERT D HAYNES JR.

License Number: PA9110678

Data As Of 5/14/2025

Profession
Physician Assistant
License
PA9110678
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/18/2017
Address of Record
13685 Doctor's Way
Suite 100
FT MYERS, FL 33912
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
DIAZ, JOSE ANGEL Supervising Prescribing Practitioner Medical Doctor 92159 11/16/2017
KASIEWICZ, JAMES Supervising Prescribing Practitioner Medical Doctor 106967 11/16/2017
O'CONNOR, ROBERT EMMETT III Supervising Prescribing Practitioner Medical Doctor 105605 02/05/2018
PATTERSON, SCOTT BRIAN Supervising Prescribing Practitioner Osteopathic Physician 11931 02/05/2018

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 5/14/2025



* 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.