License Verification

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NICHOLAS JOSEPH DOKIANOS

License Number: PA9111676

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9111676
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/25/2018
Address of Record
1000 Mar Walt Dr
FORT WALTON BEACH, FL 32547
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
6002 Berryhill Road
MILTON, FL 32570
Name Relationship Profession License Effective Date
DONCHEY, STEVEN SCOTT MD Supervising Prescribing Practitioner Medical Doctor 60265 12/10/2018
DREADEN, ZACHARY Supervising Prescribing Practitioner Osteopathic Physician 15538 12/10/2018
EIDEN, TANNER CHRISS Supervising Prescribing Practitioner Osteopathic Physician 11968 12/10/2018
EISA, EMAD AHMEDMOHAMED Supervising Prescribing Practitioner Medical Doctor 114732 07/10/2024
ELLER, NICOLE M Supervising Prescribing Practitioner Osteopathic Physician 12944 12/10/2018
HAZEN, BRENT PHILIP Supervising Prescribing Practitioner Medical Doctor 114426 12/10/2018
MEKESA, MELISSA O'RYAN Supervising Prescribing Practitioner Medical Doctor 149190 06/07/2022
MOYLES, SHAYNE NICOLE Supervising Prescribing Practitioner Osteopathic Physician 9968 12/10/2018
NORMAN, MICHAEL TRENT Supervising Prescribing Practitioner Osteopathic Physician 15854 09/24/2019
PUGLIA, JACQUELYN E Supervising Prescribing Practitioner Medical Doctor 55553 12/10/2018
SANSBURY, LAURIE POWERS JR Supervising Prescribing Practitioner Osteopathic Physician 11621 12/10/2018
SINGH, NIRMAL BRAR Supervising Prescribing Practitioner Medical Doctor 78855 12/10/2018
SOMESAN, ANDY Supervising Prescribing Practitioner Medical Doctor 79362 12/10/2018
STAVROS, MARK GEORGE Supervising Prescribing Practitioner Medical Doctor 71124 04/06/2020
THIGPEN, R LEE MD Supervising Prescribing Practitioner Medical Doctor 46821 12/10/2018

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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.