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KELLY SYLVIA GLAZER

License Number: ME149363

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME149363
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
03/05/2021
Address of Record
121 Creek forest lane
ORMOND BEACH, FL 32174
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BALLARD, PATRICK Supervising Prescribing Practitioner Osteopathic Physician 20852 06/12/2024

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Name Relationship Profession License Effective Date
BANERJEE, PUSHPAL R Prescribing Physician Assistant Osteopathic Physician 8141 8/13/2021
BIGGS, FREDERICK SCOTT Prescribing Physician Assistant Physician Assistant 9103660 8/13/2021
COATS, HAL BROOKS Prescribing Physician Assistant Physician Assistant 9103900 8/13/2021
GREENE, RICHARD MICHAEL Prescribing Physician Assistant Physician Assistant 9106015 8/13/2021
HULTZ, CINTIA HENRIQUES Prescribing Physician Assistant Physician Assistant 9109327 4/1/2022
JOHNSON, IAN JAMES Prescribing Physician Assistant Physician Assistant 9110730 8/13/2021
LEBLANC, JILL ELIZABETH Prescribing Physician Assistant Physician Assistant 9114533 8/13/2021
LENTZ, JUSTIN Prescribing Physician Assistant Physician Assistant 9117333 5/8/2024
LIN, EDWARD C Prescribing Physician Assistant Osteopathic Physician 11547 8/13/2021
MILLER, LISA ANN Prescribing Physician Assistant Physician Assistant 9102983 8/13/2021
MURRAY, INGRID RAFAELA Prescribing Physician Assistant Physician Assistant 9101723 8/13/2021
NOTMAN, BRITTANY RENEE Prescribing Physician Assistant Physician Assistant 9107171 8/13/2021
OWENS, KELLY CAMPBELL Prescribing Physician Assistant Physician Assistant 9111980 8/13/2021
REDMAN, DANNY Subordinate Medical Doctor 91747 4/1/2021
THOMPSON, SARA Prescribing Physician Assistant Physician Assistant 9108278 8/13/2021
VOGT, JASON M Prescribing Physician Assistant Physician Assistant 9107868 8/13/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/22/2024



* 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.