License Verification

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MICHELLE MARIE ESCOBAR MEDINA

License Number: ME153079

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME153079
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/24/2021
Address of Record
3057 Haley Ln
JAX, FL 32257
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

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Name Relationship Profession License Effective Date
BIRMINGHAM, RICHARD ERVIN Prescribing Physician Assistant Physician Assistant 9113895 1/4/2023
DISHONG, WILLIAM P Prescribing Physician Assistant Medical Doctor 116690 6/26/2023
EISMONT, TRACEY JEAN Prescribing Physician Assistant Physician Assistant 3182 6/26/2023
HINSON, JACOB CODY Prescribing Physician Assistant Physician Assistant 9108842 8/15/2024
LAMBERT, CAITLYN Prescribing Physician Assistant Physician Assistant 9109920 10/6/2021
PEHLIVANOVIC, MIRNA Prescribing Physician Assistant Physician Assistant 9110562 10/4/2021
SHIRLEY, KALEENA LYNN Prescribing Physician Assistant Physician Assistant 9109143 10/4/2021

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

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.