License Verification

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HALEY MARTINEZ LEWIS

License Number: OS17761

Data As Of 12/23/2024

Profession
Osteopathic Physician
License
OS17761
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
05/12/2021
Address of Record
2505 Harrison Ave
PANAMA CITY, FL 32405
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
75 Origins Main Street
PANAMA CITY BEACH, FL 32461
Address
4357 Lafayette Street
MARIANNA, FL 32446
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ALFORD, ALLIE SARAH Prescribing Physician Assistant Physician Assistant 9110862 9/13/2021
BARRY, BRIANNA Prescribing Physician Assistant Physician Assistant 9115019 5/7/2024
MERCER, ANGELA MARIE Prescribing Physician Assistant Physician Assistant 9103258 9/13/2021
NEWTON, BARRY EDWARD Prescribing Physician Assistant Physician Assistant 9102361 9/13/2021

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 12/23/2024



* 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.