License Verification
ELIJAH GORDON WELLS
License Number: PA9113266
Data As Of 12/22/2024
- Address
- 5811 Williamson Blvd Advent Health Port Orange
- PT ORANGE, FL 32128
- Address
- 1055 Saxon Blvd Advent Health Fish Memorial
- ORANGE CITY, FL 32763
- Address
- 301 Memorial Medical Parkway Advent Health Daytona Beach
- DAYTONA BEACH, FL 32117
- Address
- 401 Palmetto Street Advent Health New Smyrna
- NEW SMYRNA BEACH, FL 32168
- Address
- 701 W Plymouth St Advent Health Deland
- ORMOND BEACH, FL 32174
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BRONSTEMA, CLARENCE JAMES DO | Supervising Prescribing Practitioner | Osteopathic Physician | 9722 | 03/30/2023 |
BROWN, MARTY RAY M D | Supervising Prescribing Practitioner | Medical Doctor | 75648 | 03/30/2023 |
CSORTAN, ERIC STEVEN | Supervising Prescribing Practitioner | Medical Doctor | 84708 | 03/30/2023 |
DEVEREAUX, DANIELLE | Supervising Prescribing Practitioner | Medical Doctor | 129224 | 03/30/2023 |
DUDLEY, LARISSA SOPHIA | Supervising Prescribing Practitioner | Medical Doctor | 131434 | 03/30/2023 |
FOSTER, QUINTON ADAM | Supervising Prescribing Practitioner | Medical Doctor | 168147 | 08/14/2024 |
GAGEN, JAMES SHAWN | Supervising Prescribing Practitioner | Osteopathic Physician | 10263 | 03/30/2023 |
GREEN, DOUGLAS WARREN MD | Supervising Prescribing Practitioner | Medical Doctor | 81481 | 03/30/2023 |
GRIFFIN, JOHN PATRICK MD | Supervising Prescribing Practitioner | Medical Doctor | 78523 | 03/30/2023 |
GUTTA, RAJESH | Supervising Prescribing Practitioner | Medical Doctor | 82886 | 03/30/2023 |
HOMERICK, MICHAEL JOHN | Supervising Prescribing Practitioner | Medical Doctor | 119113 | 03/30/2023 |
JOCKOVICH, MILAN MD | Supervising Prescribing Practitioner | Medical Doctor | 65559 | 03/30/2023 |
JONES JR, PRESTON M | Supervising Prescribing Practitioner | Medical Doctor | 162801 | 08/17/2023 |
LENOCI, ROBERT | Supervising Prescribing Practitioner | Medical Doctor | 156047 | 03/30/2023 |
LIVINGSTON, ROBERT TERENCE | Supervising Prescribing Practitioner | Medical Doctor | 83159 | 06/01/2021 |
LLINAS, JACQUELINE B MD | Supervising Prescribing Practitioner | Medical Doctor | 68727 | 03/30/2023 |
MATHEW, DANA RICHARDS MD | Supervising Prescribing Practitioner | Medical Doctor | 128175 | 03/30/2023 |
MCNAMEE, JUSTIN JAMES | Supervising Prescribing Practitioner | Osteopathic Physician | 12888 | 06/01/2021 |
MILES, JAMES TIMOTHY | Supervising Prescribing Practitioner | Medical Doctor | 76017 | 03/30/2023 |
MOSES, DUSTY ALLEN DR | Supervising Prescribing Practitioner | Medical Doctor | 115932 | 06/14/2021 |
MUCCIOLO, PAUL MD | Supervising Prescribing Practitioner | Medical Doctor | 69281 | 06/04/2021 |
OLIVEIRA, BRIAN MARIO | Supervising Prescribing Practitioner | Medical Doctor | 110586 | 03/30/2023 |
OSWALD, NED ANTHONY MD | Supervising Prescribing Practitioner | Medical Doctor | 121076 | 03/30/2023 |
PIRAZZI-MARQUEZ, BEATRIZ M | Supervising Prescribing Practitioner | Medical Doctor | 102083 | 03/30/2023 |
RAMIA, MICHELLE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 116871 | 06/06/2021 |
ROTOLO, ALYSSA BIXBY | Supervising Prescribing Practitioner | Medical Doctor | 127035 | 03/30/2023 |
SISKO, MATTHEW DAVID | Supervising Prescribing Practitioner | Medical Doctor | 111919 | 06/02/2021 |
ST CLAIR, AARON LEE | Supervising Prescribing Practitioner | Medical Doctor | 106075 | 03/30/2023 |
STOJANOVSKI, MIHAIL METODIJA | Supervising Prescribing Practitioner | Medical Doctor | 130869 | 03/30/2023 |
TYMKOWICZ, ALEXANDRIA | Supervising Prescribing Practitioner | Medical Doctor | 156308 | 03/14/2023 |
VAZQUEZ, JOHNNY J | Supervising Prescribing Practitioner | Medical Doctor | 97644 | 03/30/2023 |
WEBER, DOUGLAS ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 143900 | 03/30/2023 |
WEEMAN, MITCHELL | Supervising Prescribing Practitioner | Medical Doctor | 160791 | 07/26/2023 |
WEINER, TRACY I DO | Supervising Prescribing Practitioner | Osteopathic Physician | 7471 | 06/02/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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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.