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JULIE ROMAN

License Number: PA9111426

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9111426
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/26/2018
Address of Record
151 E Redstone Avenue
CRESTVIEW, FL 32539
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALLMAN, JEFFREY WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 9007 07/19/2023
BERRY, SHANNON GAYLE Supervising Prescribing Practitioner Medical Doctor 152055 02/27/2023
BRADLEY, REBECCA Supervising Prescribing Practitioner Medical Doctor 147611 01/10/2024
CUPO, WILLIAM WALTER MD Supervising Prescribing Practitioner Medical Doctor 86389 08/18/2023
DUERR, KARL MICHAEL Supervising Prescribing Practitioner Medical Doctor 151983 09/05/2023
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 08/20/2023
GEORGE, MATTHEW Supervising Prescribing Practitioner Medical Doctor 164808 10/12/2023
HAMPTON, ZACHARY EDWARD Supervising Prescribing Practitioner Osteopathic Physician 18067 03/06/2023
HARVEY, KYLE Supervising Prescribing Practitioner Medical Doctor 158195 07/13/2023
HILL, ROBERT LEE Supervising Prescribing Practitioner Medical Doctor 166795 08/26/2024
HWANG, CHARLES WILLIAM JR Supervising Prescribing Practitioner Medical Doctor 126436 07/25/2023
KOERTNER, ADAM Supervising Prescribing Practitioner Medical Doctor 157233 08/16/2023
LANG, JUERGEN Supervising Prescribing Practitioner Medical Doctor 164763 10/14/2024
LATHAM, JOSHUA LUKE DO Supervising Prescribing Practitioner Osteopathic Physician 10027 08/18/2023
MATTEUZZI, KATIE LOU Supervising Prescribing Practitioner Osteopathic Physician 19359 02/13/2024
MCNEIL, MEGAN IONE Supervising Prescribing Practitioner Medical Doctor 129689 08/18/2023
MEIS, DANIEL ROBERT Supervising Prescribing Practitioner Osteopathic Physician 19686 07/13/2023
MELANCON, ERIC EUGENE Supervising Prescribing Practitioner Medical Doctor 150172 08/18/2023
MULLIS, BARON THAXTON Supervising Prescribing Practitioner Medical Doctor 113789 08/18/2023
NANDA, PAUL KALRA Supervising Dispensing Practitioner Medical Doctor 117861 03/10/2021
NOGGLE, TOMMY STEVEN MD Supervising Prescribing Practitioner Medical Doctor 93880 01/31/2023
NUCHERENO, ANTHONY RICHARD Supervising Prescribing Practitioner Osteopathic Physician 17869 01/26/2023
PATEL, JAIMIN BALWANT M D Supervising Prescribing Practitioner Medical Doctor 104797 09/22/2023
RASIWALA, AZIMA Supervising Prescribing Practitioner Osteopathic Physician 18254 08/18/2023
RIZZUTO, WILLIAM THOMAS Supervising Prescribing Practitioner Medical Doctor 161389 07/13/2023
RUTH, ROBERT ALLAN Supervising Prescribing Practitioner Medical Doctor 74008 07/13/2023
SHEA, JILL MARIE Supervising Prescribing Practitioner Medical Doctor 136840 07/21/2023
THOMPSON, TOMMY GLEN II Supervising Prescribing Practitioner Medical Doctor 128635 02/27/2023
WALKER, ROBERT KENNETH Supervising Prescribing Practitioner Medical Doctor 163903 07/26/2023
WEST, KERRI ELESE Supervising Prescribing Practitioner Osteopathic Physician 18404 08/18/2023
WESTBROOK, JAMES WESLEY Supervising Prescribing Practitioner Medical Doctor 146630 08/18/2023

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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.