License Verification

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IAN JAMES JOHNSON

License Number: PA9110730

Data As Of 1/6/2026

Profession
Physician Assistant
License
PA9110730
License Status
Clear/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
09/22/2017
Address of Record
1350 Hickory St
MELBOURNE, FL 32901
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1425 malabar rd NE
PALM BAY, FL 32907
Name Relationship Profession License Effective Date
ABD EL AZIZ, AHMED ESSAM Supervising Prescribing Practitioner Medical Doctor 168022 06/30/2024
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 10/23/2024
ALAKIJA, CHARLES OBAFEMI Supervising Prescribing Practitioner Medical Doctor 80775 08/10/2022
APPLEBY, ELIZA J Supervising Prescribing Practitioner Osteopathic Physician 16576 12/09/2025
ARIAS, ERICH ALBERTO Supervising Prescribing Practitioner Medical Doctor 101986 12/26/2023
ARMISTEAD, SHANNON ASHLEY Supervising Prescribing Practitioner Osteopathic Physician 17110 02/02/2023
ARNOLD, JOHN L JR Supervising Prescribing Practitioner Medical Doctor 90636 08/02/2021
BALLARD, PATRICK Supervising Prescribing Practitioner Osteopathic Physician 20852 06/12/2024
BANAPOOR, BENJAMIN Supervising Prescribing Practitioner Medical Doctor 156442 12/09/2025
BANERJEE, PUSHPAL R Supervising Prescribing Practitioner Osteopathic Physician 8141 02/02/2023
BARABAS, ALEXANDRU Supervising Prescribing Practitioner Medical Doctor 133657 08/01/2021
BEATTY, ROBERT PATRICK Supervising Prescribing Practitioner Medical Doctor 97579 08/13/2021
BIGGS, FREDERICK SCOTT Supervising Prescribing Practitioner Physician Assistant 9103660 01/10/2025
BISHOP, TRACY MARIE Supervising Prescribing Practitioner Osteopathic Physician 16617 06/12/2024
BOYER, MICHAEL ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 7483 10/12/2023
BRADEN, JOHN EMORY MD Supervising Prescribing Practitioner Medical Doctor 67031 08/01/2024
BRUN, TAYLOR KRISTINE Supervising Prescribing Practitioner Medical Doctor 139172 12/09/2025
BRUTUS, SARGINE Supervising Prescribing Practitioner Medical Doctor 111878 12/06/2024
BRYAN, JENNIFER ANN ADAMS M D Supervising Prescribing Practitioner Medical Doctor 94013 07/01/2021
BUSTAMANTE, CHRISTIAN EDGAR M D Supervising Prescribing Practitioner Medical Doctor 145628 12/15/2023
CONNOLLY, PATRICK J Supervising Prescribing Practitioner Osteopathic Physician 19382 03/29/2023
DAVIDSON-JOCKOVICH, DAWN MARIE MD Supervising Prescribing Practitioner Medical Doctor 66378 08/02/2021
DEVEREAUX, DANIELLE Supervising Prescribing Practitioner Medical Doctor 129224 12/09/2025
FERNANDEZ, JOHN RUSSELL Supervising Prescribing Practitioner Medical Doctor 65400 08/02/2021
FORD, ROBERT CHARLES III Supervising Prescribing Practitioner Osteopathic Physician 12456 07/02/2023
FOSTER, QUINTON ADAM Supervising Prescribing Practitioner Medical Doctor 168147 12/09/2025
FREELS, KEVIN Supervising Prescribing Practitioner Medical Doctor 131199 07/01/2021
GAGEN, JAMES SHAWN Supervising Prescribing Practitioner Osteopathic Physician 10263 12/09/2025
GLAZER, KELLY SYLVIA Supervising Prescribing Practitioner Medical Doctor 149363 08/13/2021
GRAHAM, KELLY ANN Supervising Prescribing Practitioner Physician Assistant 9112573 07/24/2021
GRIFFIN, JOHN PATRICK MD Supervising Prescribing Practitioner Medical Doctor 78523 12/09/2025
GUTTA, RAJESH Supervising Prescribing Practitioner Medical Doctor 82886 12/09/2025
HARBOUR, DAVID MARK Supervising Prescribing Practitioner Osteopathic Physician 8124 07/01/2021
HARRIS, PATRICK JENNINGS DO Supervising Prescribing Practitioner Osteopathic Physician 8101 07/15/2021
HEMINGWAY, THOMAS JARED Supervising Prescribing Practitioner Medical Doctor 153423 03/01/2023
HESSION, RORY ORLANT Supervising Prescribing Practitioner Medical Doctor 87577 08/01/2021
HILL, DUSTIN NICOLAS Supervising Prescribing Practitioner Medical Doctor 137031 07/24/2021
HOLCOMBE, KEVIN WESTRAY Supervising Prescribing Practitioner Medical Doctor 112246 08/15/2023
JASIMUDDIN, SHEIKH KHWAJA Supervising Prescribing Practitioner Medical Doctor 100463 10/05/2024
JOCKOVICH, MILAN MD Supervising Prescribing Practitioner Medical Doctor 65559 12/09/2025
KAPPER, JORDAN Supervising Prescribing Practitioner Medical Doctor 159916 02/17/2023
LARICE, WALESKA Supervising Prescribing Practitioner Medical Doctor 117446 08/02/2024
LEE, LEEANNE MELANNIE MARTIN MD Supervising Prescribing Practitioner Medical Doctor 79254 08/29/2024
LENOCI, ROBERT Supervising Prescribing Practitioner Medical Doctor 156047 12/09/2025
LIN, EDWARD C Supervising Prescribing Practitioner Osteopathic Physician 11547 07/01/2021
LLINAS, JACQUELINE B MD Supervising Prescribing Practitioner Medical Doctor 68727 12/09/2025
MADSEN, ERIK ARTHUR Supervising Prescribing Practitioner Medical Doctor 163200 12/01/2023
MALLORY, GEORGE EDWARD D O Supervising Prescribing Practitioner Osteopathic Physician 5771 02/02/2023
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 08/03/2021
MATHEW, DANA RICHARDS MD Supervising Prescribing Practitioner Medical Doctor 128175 12/09/2025
MAYOR-DAVIES, JUDY ANN Supervising Prescribing Practitioner Medical Doctor 73801 08/03/2021
MCINTYRE, MOLLY LAUREN Supervising Prescribing Practitioner Medical Doctor 116923 11/08/2023
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 11/23/2022
MELONI, MICHAEL ANTHONY JR Supervising Prescribing Practitioner Medical Doctor 30755 08/01/2021
MILES, JAMES TIMOTHY Supervising Prescribing Practitioner Medical Doctor 76017 12/09/2025
MILLER, LISA ANN Supervising Prescribing Practitioner Physician Assistant 9102983 03/17/2025
MISHOCK, KEVIN ALLAN Supervising Prescribing Practitioner Osteopathic Physician 18411 12/09/2025
MITCHELL, CRAIG ROBERT MD Supervising Prescribing Practitioner Medical Doctor 102920 08/03/2021
MITCHELL, WILLIAM CLAY III Supervising Prescribing Practitioner Medical Doctor 129135 07/01/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/01/2021
OLIVEIRA, BRIAN MARIO Supervising Prescribing Practitioner Medical Doctor 110586 12/09/2025
OSWALD, NED ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 121076 12/09/2025
PATEL, CHETAN R Supervising Prescribing Practitioner Medical Doctor 143328 07/01/2021
PATEL, SUMIT SUNIL Supervising Prescribing Practitioner Medical Doctor 135844 07/01/2021
PIRAZZI-MARQUEZ, BEATRIZ M Supervising Prescribing Practitioner Medical Doctor 102083 12/09/2025
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 07/01/2021
PITTS, DAPHNE MARIAN MD Supervising Prescribing Practitioner Medical Doctor 90371 10/09/2024
REHAK, CHRISTOPHER STEPHEN Supervising Prescribing Practitioner Medical Doctor 78080 01/10/2025
ROTOLO, ALYSSA BIXBY Supervising Prescribing Practitioner Medical Doctor 127035 12/09/2025
SAVANI, PARESH D MD Supervising Prescribing Practitioner Medical Doctor 95295 07/01/2021
SAYEED, YOUSUF Supervising Prescribing Practitioner Medical Doctor 149661 03/17/2025
SHORAKA, CAMERON Supervising Prescribing Practitioner Medical Doctor 147021 08/03/2022
ST CLAIR, AARON LEE Supervising Prescribing Practitioner Medical Doctor 106075 12/09/2025
STOJANOVSKI, MIHAIL METODIJA Supervising Prescribing Practitioner Medical Doctor 130869 12/09/2025
SZETO, LIAN Supervising Prescribing Practitioner Physician Assistant 9108169 08/03/2021
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 06/13/2023
TERWILLIGER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 138339 03/14/2024
THOMAS, SANDI LYNN Supervising Prescribing Practitioner Osteopathic Physician 9258 02/02/2023
TYMKOWICZ, ALEXANDRIA Supervising Prescribing Practitioner Medical Doctor 156308 12/09/2025
VAZQUEZ, JOHNNY J Supervising Prescribing Practitioner Medical Doctor 97644 12/09/2025
VELASCO, RODRIGO ERNESTO Supervising Prescribing Practitioner Medical Doctor 136030 08/03/2021
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 08/01/2021
WEAVER, LEAH DARE Supervising Prescribing Practitioner Physician Assistant 9103804 08/01/2021
WEBER, DOUGLAS ANTHONY Supervising Prescribing Practitioner Medical Doctor 143900 12/09/2025
WILKINSON, JOHN J Supervising Prescribing Practitioner Medical Doctor 131732 10/02/2024
WILSON, HOLLY Supervising Prescribing Practitioner Medical Doctor 98782 10/02/2024

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

Name Relationship Profession License Effective Date
ABRAHAM, VARKEY Prescribing Physician Assistant Physician Assistant 3670 10/11/2021
APPEL, RACHEL Prescribing Physician Assistant Physician Assistant 9102351 10/11/2021
DENIZARD, REGINALD Prescribing Physician Assistant Physician Assistant 3579 10/11/2021
RUOCCO, DEBRALEE ANNE Prescribing Physician Assistant Physician Assistant 9102726 10/11/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 1/6/2026



* 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.