License Verification

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JEFFREY ST. FIRMIN

License Number: PA9110664

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9110664
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/14/2017
Address of Record
2776 Cleveland Avenue
LeeHealth Emergency Services
FT MYERS, FL 33901
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13681 Doctors Way Gulf Coast Medical Center
FT MYERS, FL 33912
Address
636 Del Prado Blvd S Cape Coral Hospital
CAPE CORAL, FL 33990
Address
23450 Via Coconut Pt LeeHealth Coconut Pt
ESTERO, FL 33928
Address
2776 Cleveland Avenue Lee Memorial Hospital
FT MYERS, FL 33901
Address
9981 S Healthpark Drive Healthpark Medical Center
FT MYERS, FL 33908
Name Relationship Profession License Effective Date
BACKSTROM, IAN CHARLES Supervising Prescribing Practitioner Medical Doctor 122968 06/30/2020
BIENVENU, DREW CODY Supervising Prescribing Practitioner Medical Doctor 134308 06/30/2020
BOYETTE, LEAH BAKER Supervising Prescribing Practitioner Medical Doctor 120217 06/30/2020
BRYCE, SUZANNE NELLIE Supervising Prescribing Practitioner Medical Doctor 131421 06/30/2020
DALLEY, ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 40732 06/30/2020
DUNN, CARRIE STRAUSS Supervising Prescribing Practitioner Medical Doctor 93425 06/30/2020
DUNN, MICHAEL ROBERTS Supervising Prescribing Practitioner Medical Doctor 81601 06/30/2020
FELT, SUZANNE ELIZABETH MD Supervising Prescribing Practitioner Medical Doctor 101268 06/30/2020
FELT, WILLIAM MARK III Supervising Prescribing Practitioner Medical Doctor 101243 06/30/2020
GOLDNER, DAVID ELIOT Supervising Prescribing Practitioner Medical Doctor 111954 06/30/2020
GOSTIGIAN, JAMES SATROG Supervising Prescribing Practitioner Medical Doctor 59961 06/30/2020
GUPTA, TUSHAR Supervising Prescribing Practitioner Medical Doctor 136529 06/30/2020
HOWELL, ROGER A Supervising Prescribing Practitioner Osteopathic Physician 5678 06/30/2020
INGRAM, JEREMY DAVID Supervising Prescribing Practitioner Osteopathic Physician 10697 06/30/2020
KENNEDY, DANIEL PATRICK MD Supervising Prescribing Practitioner Medical Doctor 83340 06/30/2020
LAOANG, JEFFREY G Supervising Prescribing Practitioner Medical Doctor 94885 06/30/2020
LEE, DOUGLAS S Supervising Prescribing Practitioner Medical Doctor 94545 06/30/2020
LOZIER, STEPHEN JAMES Supervising Prescribing Practitioner Medical Doctor 126744 06/30/2020
MACCHIAROLI, RICHARD CARMINE Supervising Prescribing Practitioner Medical Doctor 79168 06/30/2020
ONDRAKO, DAVID M Supervising Prescribing Practitioner Medical Doctor 138117 06/30/2020
PHILIP, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 133186 06/30/2020
PONDER, CHRISTOPHER HAWTHORNE Supervising Prescribing Practitioner Medical Doctor 127669 06/30/2020
SATLOFF, SARA PATRICIA Supervising Prescribing Practitioner Medical Doctor 113578 06/30/2020
TANN, CHRISTOPHER WILLIAM Supervising Prescribing Practitioner Medical Doctor 125713 06/30/2020
TENNYSON, JUSTIN JAMES Supervising Prescribing Practitioner Medical Doctor 133457 06/30/2020
THURLING, DENISE CONLEY MD Supervising Prescribing Practitioner Medical Doctor 101347 06/30/2020
WILSON, JASON TODD Supervising Prescribing Practitioner Medical Doctor 82009 06/30/2020
ZIMMERMAN, HENRY WILLIAM JR Supervising Prescribing Practitioner Medical Doctor 102953 06/30/2020

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Name Relationship Profession License Effective Date

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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.