License Verification

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ADAM KOERTNER

License Number: ME157233

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME157233
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
05/31/2022
Address of Record
317 Glen Avenue
VALPARAISO, FL 32580
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
AMBROSE, JESSICA Prescribing Physician Assistant Physician Assistant 9110160 8/16/2023
BULLMAN, JONATHAN FAIN Prescribing Physician Assistant Physician Assistant 9107709 8/16/2023
GANDHI, HARMISHA Prescribing Physician Assistant Physician Assistant 9118435 4/16/2024
ROMAN, JULIE Prescribing Physician Assistant Physician Assistant 9111426 8/16/2023
SAMSON, JESSICA AURELIO Prescribing Physician Assistant Physician Assistant 9103076 8/16/2023
SIMMONS, LEONARD WILLIAM Prescribing Physician Assistant Physician Assistant 9103209 8/16/2023
TAYLOR, SHAWN DESHANNON Prescribing Physician Assistant Physician Assistant 9104301 7/22/2024
WASHINGTON, ERIC Prescribing Physician Assistant Physician Assistant 9118438 7/22/2024
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 8/16/2023

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

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.