License Verification

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CARI JACLYN BRODERICK

License Number: PA9113167

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9113167
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/15/2020
Address of Record
2 Shircliff Way
Suite 605
JACKSONVILLE, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2627 Riverside Ave Suite 300
JACKSONVILLE, FL 32204
Address
232 Ponte Vedra Park Dr
PONTE VEDRA BEACH, FL 32082
Address
4565 US Hwy 17 Suite 200
FLEMING ISLAND, FL 32003
Address
15255 Max Legget Pkwy Suite 5300
JACKSONVILLE, FL 32218
Address
10475 Centurion Pkwy North Suite 220
JACKSONVILLE, FL 32256
Name Relationship Profession License Effective Date
REDMOND, JOHN MICHAEL Supervising Dispensing Practitioner Medical Doctor 117442 06/08/2022
REDMOND, JOHN MICHAEL Supervising Prescribing Practitioner Medical Doctor 117442 04/26/2020

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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 12/23/2024



* 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.