License Verification

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JUSTIN ALFONSO

License Number: ME145433

Data As Of 12/24/2024

Profession
Medical Doctor
License
ME145433
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/08/2020
Address of Record
15255 Max Leggett Pkwy
Suite 5500
JACKSONVILLE, FL 32218
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Yes
Discipline on File
No
Public Complaint
No
Address
1510 Hendricks ave
JACKSONVILLE, FL 32207
Address
5191 First Coast Tech Pkwy 3rd Floor
JACKSONVILLE, FL 32224
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BETTIS, ELIZABETH RAYE Prescribing Physician Assistant Physician Assistant 9110699 10/6/2021
CLEMONS, CARSON MITCHELL Prescribing Physician Assistant Physician Assistant 9114474 10/6/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/24/2024



* 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.