License Verification
KYLE SCULLY
License Number: PA9111560
Data As Of 12/22/2024
- Address
- 8725 N. Wickham Rd, Ste. 301
- MELBOURNE, FL 32940
- Address
- 205 E Nasa Blvd, 1st Flr
- MELBOURNE, FL 32901
- Address
- 1425 Malabar Rd NE
- MELBOURNE, FL 32907
- Address
- 1350 S. Hickory Street
- MELBOURNE, FL 32901
- Address
- 701 W. Cocoa Beach Causeway
- COCOA BEACH, FL 32931
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
AGOSTO DIAZ, EDIL J | Supervising Prescribing Practitioner | Medical Doctor | 102761 | 04/15/2020 |
ALVAREZ, COREY | Supervising Prescribing Practitioner | Medical Doctor | 131625 | 04/15/2020 |
BRONSTEMA, CLARENCE JAMES DO | Supervising Prescribing Practitioner | Osteopathic Physician | 9722 | 04/15/2020 |
BROWN, MARTY RAY M D | Supervising Prescribing Practitioner | Medical Doctor | 75648 | 04/15/2020 |
CAPUTO, MARK E | Supervising Prescribing Practitioner | Medical Doctor | 94049 | 12/20/2018 |
CHAO, MAURICE JAY | Supervising Prescribing Practitioner | Osteopathic Physician | 8629 | 04/15/2020 |
CROSS, WILLIAM IAN | Supervising Prescribing Practitioner | Osteopathic Physician | 10316 | 10/25/2022 |
CSORTAN, ERIC STEVEN | Supervising Prescribing Practitioner | Medical Doctor | 84708 | 04/15/2020 |
DEVAUX, MIKAELA ELISE | Supervising Prescribing Practitioner | Medical Doctor | 130853 | 04/15/2020 |
DEVEREAUX, DANIELLE | Supervising Prescribing Practitioner | Medical Doctor | 129224 | 04/15/2020 |
DUCKWORTH, ANGELA LEEANN MD | Supervising Prescribing Practitioner | Medical Doctor | 112929 | 04/15/2020 |
DUDLEY, LARISSA SOPHIA | Supervising Prescribing Practitioner | Medical Doctor | 131434 | 04/15/2020 |
FLEMING, MICHAEL MD | Supervising Prescribing Practitioner | Medical Doctor | 133576 | 04/15/2020 |
GAGEN, JAMES SHAWN | Supervising Prescribing Practitioner | Osteopathic Physician | 10263 | 04/15/2020 |
GREEN, DOUGLAS WARREN MD | Supervising Prescribing Practitioner | Medical Doctor | 81481 | 04/15/2020 |
GRIFFIN, JOHN PATRICK MD | Supervising Prescribing Practitioner | Medical Doctor | 78523 | 04/15/2020 |
GUTTA, RAJESH | Supervising Prescribing Practitioner | Medical Doctor | 82886 | 04/15/2020 |
HOMERICK, MICHAEL JOHN | Supervising Prescribing Practitioner | Medical Doctor | 119113 | 04/15/2020 |
JOCKOVICH, MILAN MD | Supervising Prescribing Practitioner | Medical Doctor | 65559 | 04/15/2020 |
JONES JR, PRESTON M | Supervising Prescribing Practitioner | Medical Doctor | 162801 | 08/17/2023 |
JONES, PRESTON MICHAEL MD | Supervising Prescribing Practitioner | Medical Doctor | 51045 | 04/15/2020 |
LLINAS, JACQUELINE B MD | Supervising Prescribing Practitioner | Medical Doctor | 68727 | 04/15/2020 |
MATHEW, DANA RICHARDS MD | Supervising Prescribing Practitioner | Medical Doctor | 128175 | 04/15/2020 |
MCGOOHAN, MICHAEL PATRICK DO | Supervising Prescribing Practitioner | Osteopathic Physician | 6325 | 04/15/2020 |
MILES, JAMES TIMOTHY | Supervising Prescribing Practitioner | Medical Doctor | 76017 | 04/15/2020 |
OLIVEIRA, BRIAN MARIO | Supervising Prescribing Practitioner | Medical Doctor | 110586 | 04/15/2020 |
OSWALD, NED ANTHONY MD | Supervising Prescribing Practitioner | Medical Doctor | 121076 | 04/15/2020 |
PIRAZZI-MARQUEZ, BEATRIZ M | Supervising Prescribing Practitioner | Medical Doctor | 102083 | 04/15/2020 |
RAMAGE, DARRON TRAVIS | Supervising Prescribing Practitioner | Medical Doctor | 115024 | 04/15/2020 |
ROTOLO, ALYSSA BIXBY | Supervising Prescribing Practitioner | Medical Doctor | 127035 | 04/15/2020 |
ST CLAIR, AARON LEE | Supervising Prescribing Practitioner | Medical Doctor | 106075 | 04/15/2020 |
STOJANOVSKI, MIHAIL METODIJA | Supervising Prescribing Practitioner | Medical Doctor | 130869 | 04/15/2020 |
TAIVAL, BRANDON JEAN DO | Supervising Prescribing Practitioner | Osteopathic Physician | 9481 | 04/15/2020 |
TYMKOWICZ, ALEXANDRIA | Supervising Prescribing Practitioner | Medical Doctor | 156308 | 03/14/2023 |
VAN HEMEL, ELIZABETH ANNE | Supervising Prescribing Practitioner | Physician Assistant | 3575 | 10/25/2022 |
VAZQUEZ, JOHNNY J | Supervising Prescribing Practitioner | Medical Doctor | 97644 | 04/15/2020 |
WALKER, GEORGE HAROLD MD | Supervising Prescribing Practitioner | Medical Doctor | 70189 | 04/15/2020 |
WEBER, DOUGLAS ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 143900 | 05/01/2020 |
WEEMAN, MITCHELL | Supervising Prescribing Practitioner | Medical Doctor | 160791 | 07/26/2023 |
YOUNG, VICTOR CHANCE | Supervising Prescribing Practitioner | Osteopathic Physician | 8339 | 04/15/2020 |
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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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Click on the License Number to view License Details for that Practitioner
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.