License Verification

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CARSON MITCHELL CLEMONS

License Number: PA9114474

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9114474
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/04/2021
Address of Record
4268 Oldfield Crossing Dr.
Suite 303
JACKSONVILLE, FL 32223
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
ALFONSO, JUSTIN Supervising Prescribing Practitioner Medical Doctor 145433 10/06/2021
BREMER, NICHOLAS JOHN Supervising Prescribing Practitioner Medical Doctor 126043 10/06/2021
CAREY, JOHN EDMUND Supervising Prescribing Practitioner Medical Doctor 80791 10/05/2021
CARRION - JONES, MONICA JEANETT Supervising Prescribing Practitioner Medical Doctor 150631 10/06/2021
HANES, MICHAEL CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 121093 10/06/2021
MANN, JUSTIN DAVID MD Supervising Prescribing Practitioner Medical Doctor 128030 10/05/2021
REDDY, SATHAVARAM ARAVIND Supervising Prescribing Practitioner Medical Doctor 141290 10/06/2021
ROBERTS, CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 69788 10/05/2021
SALEK, DAVID RYAN Supervising Prescribing Practitioner Medical Doctor 120992 10/06/2021
VINCENTY, CLAUDIO E Supervising Prescribing Practitioner Medical Doctor 44593 10/05/2021

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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.


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.