License Verification
TRACEY JEAN EISMONT
License Number: PA3182
Data As Of 12/22/2024
- Address
- 888 Lane Avenue South UF Health & Urgent Care Center Lane Avenue
- JACKSONVILLE, FL 32205
- Address
- 11251 Lamb Tail Lane UF Health Emergency & Urgent Care Baymeadows
- JACKSONVILLE, FL 32256
- Address
- 15255 Max Legget Pkwy UF Health North Emergency Room
- JACKSONVILLE, FL 32218
- Address
- 11277 New Kings Road UF Health Emergency & Urgent Care New Kings
- JACKSONVILLE, FL 32219
- Address
- 76011 William Burgess Blvd UF Health Wildlight
- YULEE, FL 32097
- Address
- 655 8th Street West UF Health Jacksonville Emergency Room
- JACKSONVILLE, FL 32209
- Address
- 205 Trinity Way St Vincents -Emergency Med Ser
- SAINT JOHNS, FL 32259
- Address
- 4201 Belfort Road
- JACKSONVILLE, FL 32216
- Address
- 1670 ST. VINCENTS WAY ST VINCENTS CLAY COUNTY DEPT. OF EMERGENCY MEDICINE
- MIDDLEBURG, FL 32068
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| AIELLO, JAMES JOHN | Supervising Prescribing Practitioner | Medical Doctor | 113843 | 05/10/2018 |
| ALENCASTRO PULS, HENRIQUE | Supervising Prescribing Practitioner | Medical Doctor | 166038 | 08/01/2024 |
| ALLEN, CHELSEA NEVADA | Supervising Prescribing Practitioner | Osteopathic Physician | 18655 | 06/30/2023 |
| ALONSO, ALEJANDRO | Supervising Prescribing Practitioner | Medical Doctor | 147246 | 12/21/2021 |
| ANDERSON, STEPHEN A | Supervising Prescribing Practitioner | Medical Doctor | 154012 | 08/09/2024 |
| AUGENSTEIN, W LYNN MD | Supervising Prescribing Practitioner | Medical Doctor | 55214 | 05/10/2018 |
| BEARDSLEY, THOMAS | Supervising Prescribing Practitioner | Medical Doctor | 139243 | 06/26/2023 |
| BRAUD, CHRISTINE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 115103 | 06/30/2023 |
| BRITTAN, TAYLOR | Supervising Prescribing Practitioner | Medical Doctor | 162270 | 10/19/2023 |
| BRYANT, LAURIE SUSAN | Supervising Prescribing Practitioner | Osteopathic Physician | 13282 | 05/10/2018 |
| CARPENTER, MICHAEL HANSON | Supervising Prescribing Practitioner | Medical Doctor | 147520 | 10/12/2023 |
| CLARE, JONATHAN | Supervising Prescribing Practitioner | Medical Doctor | 145326 | 11/28/2023 |
| CLUGSTON, CORY ROBERT | Supervising Prescribing Practitioner | Medical Doctor | 155517 | 06/30/2023 |
| COCCA, RYAN ANDREW | Supervising Prescribing Practitioner | Medical Doctor | 163218 | 10/12/2023 |
| COLEMAN, GIA | Supervising Prescribing Practitioner | Medical Doctor | 154246 | 06/26/2023 |
| DELBIANCO, JOHN DUBOIS | Supervising Prescribing Practitioner | Medical Doctor | 166448 | 07/19/2024 |
| DIETRICH, WILLIAM GERARD MD | Supervising Prescribing Practitioner | Medical Doctor | 55253 | 05/10/2018 |
| DISHONG, WILLIAM P | Supervising Prescribing Practitioner | Medical Doctor | 116690 | 11/16/2023 |
| DURAN-GEHRING, PETRA E | Supervising Prescribing Practitioner | Medical Doctor | 91161 | 03/02/2024 |
| ESCOBAR MEDINA, MICHELLE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 153079 | 06/26/2023 |
| FRALEY, PAUL RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 134133 | 06/26/2023 |
| FREDERICKSEN, KIM ANN | Supervising Prescribing Practitioner | Medical Doctor | 126793 | 06/26/2023 |
| GAGE, CHRISTINE NICOLE | Supervising Prescribing Practitioner | Osteopathic Physician | 18019 | 10/11/2023 |
| GEHRING, JEFFREY SCOTT MD | Supervising Prescribing Practitioner | Medical Doctor | 97562 | 03/02/2022 |
| GHALI, SAMA | Supervising Prescribing Practitioner | Medical Doctor | 147065 | 10/26/2023 |
| GREELEY, ADAM PATRICK | Supervising Prescribing Practitioner | Medical Doctor | 152236 | 12/07/2021 |
| HAROLD, KELVIN JAMES | Supervising Prescribing Practitioner | Medical Doctor | 122392 | 05/10/2018 |
| HESTER, ZACHARY | Supervising Prescribing Practitioner | Medical Doctor | 141445 | 10/28/2023 |
| HILL, JONATHAN VOOGD | Supervising Prescribing Practitioner | Medical Doctor | 152186 | 08/31/2022 |
| HOIDA, JEFFREY SCOTT MD | Supervising Prescribing Practitioner | Medical Doctor | 136257 | 09/14/2018 |
| HOIDA, SHIELDS DUSS | Supervising Prescribing Practitioner | Medical Doctor | 125526 | 04/17/2019 |
| HU, EDWARD | Supervising Prescribing Practitioner | Medical Doctor | 166044 | 10/11/2024 |
| JAMAL, KARIM | Supervising Prescribing Practitioner | Medical Doctor | 158098 | 01/09/2023 |
| JOHNSTONE, CHRISTINE LYN | Supervising Prescribing Practitioner | Medical Doctor | 97925 | 05/10/2018 |
| KLINE, CHRISTOPHER JOHN | Supervising Prescribing Practitioner | Medical Doctor | 79148 | 03/02/2021 |
| KOLODCHAK, JENNIFER LYNN | Supervising Prescribing Practitioner | Medical Doctor | 107844 | 09/02/2024 |
| LUCEY, PAUL D MD | Supervising Prescribing Practitioner | Medical Doctor | 50050 | 05/10/2018 |
| MANCUSI-UNGARO, ANDREW E | Supervising Prescribing Practitioner | Medical Doctor | 142640 | 12/14/2022 |
| MANNIX, ALEXANDRA LEIGH | Supervising Prescribing Practitioner | Medical Doctor | 135601 | 07/26/2024 |
| MANTHA, KALYAN C | Supervising Prescribing Practitioner | Medical Doctor | 122523 | 08/15/2018 |
| MARTZ, BLAKE AUTRY | Supervising Prescribing Practitioner | Osteopathic Physician | 19896 | 08/05/2024 |
| MCCLURE, MATTHEW BRYCE | Supervising Prescribing Practitioner | Medical Doctor | 148261 | 06/26/2023 |
| MENDEZ, LORRAINE MD | Supervising Prescribing Practitioner | Medical Doctor | 120528 | 06/30/2023 |
| MITCHELL, CATHERINE | Supervising Prescribing Practitioner | Medical Doctor | 162652 | 05/21/2024 |
| MOHNANI, DENA LAUREN | Supervising Prescribing Practitioner | Medical Doctor | 124718 | 10/28/2023 |
| MOIR, PAUL A | Supervising Prescribing Practitioner | Medical Doctor | 76950 | 05/10/2018 |
| MYHRER, ERIK | Supervising Prescribing Practitioner | Medical Doctor | 96634 | 05/10/2018 |
| NIPPERT, JUSTIN ALAN | Supervising Prescribing Practitioner | Osteopathic Physician | 17348 | 06/23/2023 |
| OH, JOHN | Supervising Prescribing Practitioner | Medical Doctor | 161597 | 12/07/2023 |
| PANAITESCU, VLAD | Supervising Prescribing Practitioner | Osteopathic Physician | 17560 | 06/30/2023 |
| PANDEY, AMAN | Supervising Prescribing Practitioner | Medical Doctor | 156224 | 10/17/2023 |
| PATEL, SHAMA | Supervising Prescribing Practitioner | Medical Doctor | 145220 | 06/30/2023 |
| PETERSEN, COURTNEY | Supervising Prescribing Practitioner | Medical Doctor | 162748 | 08/05/2024 |
| PULS, ASHLEY ERIN | Supervising Prescribing Practitioner | Medical Doctor | 167999 | 08/01/2024 |
| RASHID, SHAHNAZ | Supervising Prescribing Practitioner | Medical Doctor | 147435 | 10/18/2023 |
| REHMAN, FAISAL | Supervising Prescribing Practitioner | Medical Doctor | 148880 | 05/09/2024 |
| RICHARDS, DANELLE | Supervising Prescribing Practitioner | Medical Doctor | 151874 | 10/13/2023 |
| RONEY, NATHAN | Supervising Prescribing Practitioner | Medical Doctor | 159192 | 10/27/2023 |
| SAPOLSKY, JEFFREY HOWARD MD | Supervising Prescribing Practitioner | Medical Doctor | 68324 | 08/15/2018 |
| SCHARE, ANDREW IRA | Supervising Prescribing Practitioner | Medical Doctor | 80137 | 05/10/2018 |
| SEGARRA-SALCEDO, ANDREA ALEXANDRA | Supervising Prescribing Practitioner | Medical Doctor | 154732 | 06/26/2023 |
| STERKA, DAVID GEORGE JR | Supervising Prescribing Practitioner | Medical Doctor | 125380 | 08/15/2018 |
| STORCH, IAN DAVID | Supervising Prescribing Practitioner | Medical Doctor | 132808 | 06/26/2023 |
| SUCHENSKI, MAUREEN | Supervising Prescribing Practitioner | Medical Doctor | 137483 | 12/02/2023 |
| TANA, CHRISTOPHER FRANK | Supervising Prescribing Practitioner | Osteopathic Physician | 10435 | 06/30/2023 |
| THOMAS, STEPHANIE A | Supervising Prescribing Practitioner | Osteopathic Physician | 17031 | 10/12/2023 |
| V ZQUEZ-FUSTER, NGEL MANUEL | Supervising Prescribing Practitioner | Medical Doctor | 162918 | 06/26/2023 |
| VAZQUEZ GOMEZ, ROGER ALFREDO | Supervising Prescribing Practitioner | Medical Doctor | 154999 | 06/26/2023 |
| VIHLEN, ANDREW SCOTT | Supervising Prescribing Practitioner | Medical Doctor | 109676 | 05/10/2018 |
| WALLS, THOMAS DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 11350 | 02/25/2022 |
| WEBB, LOUISE KENDALL MD | Supervising Prescribing Practitioner | Medical Doctor | 95474 | 10/27/2023 |
| WILLIAMS, DEBORAH JEAN | Supervising Prescribing Practitioner | Medical Doctor | 112260 | 06/26/2023 |
| WOODY, JAY ROBERT | Supervising Prescribing Practitioner | Medical Doctor | 144120 | 01/17/2024 |
| WYLIE, TODD WICK | Supervising Prescribing Practitioner | Medical Doctor | 83747 | 03/30/2024 |
| ZADELL, JESSE LLOYD | Supervising Prescribing Practitioner | Medical Doctor | 152033 | 12/07/2021 |
| ZOROVICH, ELIZABETH | Supervising Prescribing Practitioner | Medical Doctor | 153863 | 12/09/2023 |
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
| 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.
