License Verification

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RICHARD ERVIN BIRMINGHAM

License Number: PA9113895

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9113895
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/10/2020
Address of Record
11277 New Kings Road
JACKSONVILLE, FL 32219
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
ALENCASTRO PULS, HENRIQUE Supervising Prescribing Practitioner Medical Doctor 166038 08/01/2024
ALLEN, CHELSEA NEVADA Supervising Prescribing Practitioner Osteopathic Physician 18655 12/20/2022
BRITTAN, TAYLOR Supervising Prescribing Practitioner Medical Doctor 162270 07/15/2023
CARPENTER, MICHAEL HANSON Supervising Prescribing Practitioner Medical Doctor 147520 12/12/2022
CARR, CASEY TERRY Supervising Prescribing Practitioner Medical Doctor 139535 12/06/2023
CLUGSTON, CORY ROBERT Supervising Prescribing Practitioner Medical Doctor 155517 12/12/2022
COCCA, RYAN ANDREW Supervising Prescribing Practitioner Medical Doctor 163218 08/07/2023
COLEMAN, GIA Supervising Prescribing Practitioner Medical Doctor 154246 12/20/2022
DELBIANCO, JOHN DUBOIS Supervising Prescribing Practitioner Medical Doctor 166448 07/15/2024
DISHONG, WILLIAM P Supervising Prescribing Practitioner Medical Doctor 116690 12/19/2024
ESCOBAR MEDINA, MICHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 153079 01/04/2023
FLORES-GONZALEZ, BARBARA NAHIR Supervising Prescribing Practitioner Medical Doctor 144375 12/20/2022
FRALEY, PAUL RICHARD Supervising Prescribing Practitioner Medical Doctor 134133 12/19/2022
FREDERICKSEN, KIM ANN Supervising Prescribing Practitioner Medical Doctor 126793 12/19/2022
GAGE, CHRISTINE NICOLE Supervising Prescribing Practitioner Osteopathic Physician 18019 12/12/2022
MARTZ, BLAKE AUTRY Supervising Prescribing Practitioner Osteopathic Physician 19896 08/05/2024
MCCLURE, MATTHEW BRYCE Supervising Prescribing Practitioner Medical Doctor 148261 12/18/2022
NIPPERT, JUSTIN ALAN Supervising Prescribing Practitioner Osteopathic Physician 17348 12/13/2022
OH, JOHN Supervising Prescribing Practitioner Medical Doctor 161597 11/06/2023
PANAITESCU, VLAD Supervising Prescribing Practitioner Osteopathic Physician 17560 01/04/2023
PANDEY, AMAN Supervising Prescribing Practitioner Medical Doctor 156224 12/20/2022
PETERSEN, COURTNEY Supervising Prescribing Practitioner Medical Doctor 162748 08/05/2024
PULS, ASHLEY ERIN Supervising Prescribing Practitioner Medical Doctor 167999 08/01/2024
RIOS, LUIS ERNESTO JR Supervising Prescribing Practitioner Medical Doctor 55184 12/19/2022
RONEY, NATHAN Supervising Prescribing Practitioner Medical Doctor 159192 12/20/2022
SEGARRA-SALCEDO, ANDREA ALEXANDRA Supervising Prescribing Practitioner Medical Doctor 154732 07/22/2023
SHER, WARREN Supervising Prescribing Practitioner Medical Doctor 135390 12/19/2022
SHIBER, JOSEPH ROBERT Supervising Prescribing Practitioner Medical Doctor 100022 01/04/2023
SUCHENSKI, MAUREEN Supervising Prescribing Practitioner Medical Doctor 137483 11/10/2023
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 12/18/2022
THOMAS, STEPHANIE A Supervising Prescribing Practitioner Osteopathic Physician 17031 06/15/2023
V ZQUEZ-FUSTER, NGEL MANUEL Supervising Prescribing Practitioner Medical Doctor 162918 07/01/2024
ZOROVICH, ELIZABETH Supervising Prescribing Practitioner Medical Doctor 153863 09/01/2023

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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 12/22/2024



* 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.