License Verification

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SHAINA PARKS

License Number: OS16980

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS16980
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
07/02/2020
Address of Record
304 W Park Ave
TAMPA, FL 33602
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
ATEZ, FRANCISCO JOSE Prescribing Physician Assistant Medical Doctor 109582 9/1/2023
BOLAND, KEVIN PATRICK Prescribing Physician Assistant Osteopathic Physician 12732 1/9/2023
EDGINTON, SIMON ROY M D Prescribing Physician Assistant Medical Doctor 74221 1/10/2023
FODERA, FRANK ANTHONY Prescribing Physician Assistant Physician Assistant 9117300 5/15/2023
KIRTZ, JEREMY FECHTER Prescribing Physician Assistant Medical Doctor 108993 1/10/2023
MIAH, BAHAR Prescribing Physician Assistant Medical Doctor 108183 1/10/2023
MILLS, TYLER Prescribing Physician Assistant Osteopathic Physician 18796 10/30/2023
PABST II, DAVID J Prescribing Physician Assistant Physician Assistant 9117468 5/25/2023
PARKS, THOMAS EDWARD Prescribing Physician Assistant Physician Assistant 9105210 1/10/2023
PELLISSIER, OLIVIA MARIE Prescribing Physician Assistant Physician Assistant 9118062 10/19/2023

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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.