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CONNOR LEE BRACY

License Number: ME166978

Data As Of 4/3/2025

Profession
Medical Doctor
License
ME166978
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
02/27/2024
Address of Record
3100 E Fletcher Ave.
TAMPA, FL 33613
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

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

Name Relationship Profession License Effective Date
BARNHARD, ASHLEY Prescribing Physician Assistant Physician Assistant 9114273 3/21/2025
BEAUCHAMP, STEFANIE Prescribing Physician Assistant Physician Assistant 9115527 3/21/2025
BOLTON, ASHLEY MARIE Prescribing Physician Assistant Physician Assistant 9108069 3/21/2025
BOWMAN, RYAN SCOTT Prescribing Physician Assistant Physician Assistant 9117823 3/21/2025
BRASETH, KATHRYN Prescribing Physician Assistant Physician Assistant 9115741 3/21/2025
BREEN, JENA LYNN Prescribing Physician Assistant Physician Assistant 9108857 3/21/2025
CAMACHO, LANCE WILLIAM Prescribing Physician Assistant Physician Assistant 9109563 3/21/2025
CLINE, JESSICA MARIE LYNN Prescribing Physician Assistant Physician Assistant 9116036 3/21/2025
COLLOM, NEIL EDWARD Prescribing Physician Assistant Physician Assistant 9111249 3/21/2025
CRAMER, GREGORY ROBERT Prescribing Physician Assistant Physician Assistant 9116628 3/21/2025
CUNNINGHAM, ANDREW Prescribing Physician Assistant Physician Assistant 9112114 3/21/2025
DAVIES, MELANIE JAYNE Prescribing Physician Assistant Physician Assistant 9109114 3/21/2025
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 3/21/2025
DOLAN, NICHOLAS ALEXANDER Prescribing Physician Assistant Physician Assistant 9113623 3/21/2025
EVANGELISTI, MINDY Prescribing Physician Assistant Physician Assistant 9118901 3/21/2025
FELDMAN, TRAVIS SCOTT Prescribing Physician Assistant Physician Assistant 9110309 3/21/2025
FERNANDEZ, FRANKLIN JOSE Prescribing Physician Assistant Physician Assistant 9117044 3/21/2025
FODERA, FRANK ANTHONY Prescribing Physician Assistant Physician Assistant 9117300 3/21/2025
FREEMAN, KELLIE CHRISTINE Prescribing Physician Assistant Physician Assistant 9110742 3/21/2025
GLEAVES, RACHEL Prescribing Physician Assistant Physician Assistant 9117325 3/21/2025
GOGLIO, ALEC PERRY Prescribing Physician Assistant Physician Assistant 9117740 3/21/2025
HAGEWOOD, STEVEN STALLENS Prescribing Physician Assistant Physician Assistant 9110717 3/21/2025
HARDEN, KYLE Prescribing Physician Assistant Physician Assistant 9113509 3/21/2025
HAVERCHAK, ALEXANDRA Prescribing Physician Assistant Physician Assistant 9115748 3/21/2025
HUGNEY, DANIELLE NICOLE Prescribing Physician Assistant Physician Assistant 9117466 3/21/2025
JOHNSON, HEATHER ANNE Prescribing Physician Assistant Physician Assistant 3023 3/21/2025
JONES, LINDSEY GAIL Prescribing Physician Assistant Physician Assistant 9114709 3/21/2025
KHURRAM, SEHRISH Prescribing Physician Assistant Physician Assistant 9118360 3/21/2025
KIMMERLING, ADAM TYLER Prescribing Physician Assistant Physician Assistant 9108682 3/21/2025
KINSEY, RICHARD RAYMOND JR Prescribing Physician Assistant Physician Assistant 9101145 3/21/2025
KOKJOHN, KRISTEN LYNN Prescribing Physician Assistant Physician Assistant 9116466 3/21/2025
KONDZIELAWA, GIANNA Prescribing Physician Assistant Physician Assistant 9117612 3/21/2025
LANCASTER, CHRISTOPHER ALEXANDER Prescribing Physician Assistant Physician Assistant 9104840 3/21/2025
LARIMORE, TRAVIS LEE Prescribing Physician Assistant Physician Assistant 9106146 3/21/2025
LAVINA, JAY PATRICK Prescribing Physician Assistant Physician Assistant 9102410 3/21/2025
LYNCH, KATIE Prescribing Physician Assistant Physician Assistant 9110528 3/21/2025
MADDALONI, ANGELINA Prescribing Physician Assistant Physician Assistant 9115757 3/21/2025
MAFFEO, HEATHER NICOLE Prescribing Physician Assistant Physician Assistant 9117673 3/21/2025
MCCOMB, KATHRYN DEBORAH Prescribing Physician Assistant Physician Assistant 9118701 3/21/2025
MONROE, BRADLEY SEAN Prescribing Physician Assistant Physician Assistant 9115248 3/21/2025
NICHOLS, ALEXANDER CARL Prescribing Physician Assistant Physician Assistant 9117561 3/21/2025
PABST II, DAVID J Prescribing Physician Assistant Physician Assistant 9117468 3/21/2025
PARKS, THOMAS EDWARD Prescribing Physician Assistant Physician Assistant 9105210 3/21/2025
PASHEGOBA, STEVEN LEE Prescribing Physician Assistant Physician Assistant 9101722 3/21/2025
PELLISSIER, OLIVIA MARIE Prescribing Physician Assistant Physician Assistant 9118062 3/21/2025
RESTREPO, GLISET Prescribing Physician Assistant Physician Assistant 9110146 3/21/2025
RINI, JACLYN Prescribing Physician Assistant Physician Assistant 9108634 3/21/2025
RIZZO, MARISSA Prescribing Physician Assistant Physician Assistant 9114944 3/21/2025
SAMMY, NYRON MCKENZIE Prescribing Physician Assistant Physician Assistant 9113123 3/21/2025
SCHLEIF, ROBERT DAVID Prescribing Physician Assistant Physician Assistant 9112559 3/21/2025
SKIDMORE, JUSTIN STUART Prescribing Physician Assistant Physician Assistant 9110082 3/21/2025
SORDAN, MICHAEL ROLF Prescribing Physician Assistant Physician Assistant 9115648 3/21/2025
STINEBECK, JARED C Prescribing Physician Assistant Physician Assistant 9105546 3/21/2025
SUCKOW, WENDY SUE Prescribing Physician Assistant Physician Assistant 9101731 3/21/2025
SUSSMAN, MICHAEL LORNE Prescribing Physician Assistant Physician Assistant 9107280 3/21/2025
TINGLER, TARA LYNN Prescribing Physician Assistant Physician Assistant 9102755 3/21/2025
VABER, MORNING STAR Prescribing Physician Assistant Physician Assistant 9115590 3/21/2025
WANZER, ASHLEY Prescribing Physician Assistant Physician Assistant 9112753 3/21/2025
WATTERS, JOSEPH Prescribing Physician Assistant Physician Assistant 9112435 3/21/2025
WILSON, NANCY JOANN Prescribing Physician Assistant Physician Assistant 9105925 3/21/2025
YEH, ANDERSON Prescribing Physician Assistant Physician Assistant 9113431 3/21/2025

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 4/3/2025



* 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.