License Verification

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JAMIE LEE MILLER

License Number: PA9114556

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9114556
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/22/2021
Address of Record
8000 SR 64 E
BRADENTON, FL 34212
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
6202 17th Ave West
BRADENTON, FL 34209
Name Relationship Profession License Effective Date
BOYETTE, MELISSA MAHIQUEZ Supervising Prescribing Practitioner Medical Doctor 103549 01/01/2024
KOTHARI, PARTH Supervising Prescribing Practitioner Medical Doctor 167737 09/16/2024
PACANA, MATTHEW JOHN Supervising Prescribing Practitioner Medical Doctor 157260 11/01/2024

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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 12/23/2024



* 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.


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