License Verification

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KEITH IVAN YATTAW

License Number: PA3577

Data As Of 10/19/2026

Profession
Physician Assistant
License
PA3577
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
03/20/1998
Address of Record
1401 WEST SEMINOLE BLVD
CENTRAL FLORIDA REGIONAL HOSPITAL
SANFORD, FL 32771
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
ADEKUNLE, OLUSUNMADE Supervising Prescribing Practitioner Osteopathic Physician 11354 10/19/2026
ALEXANDER, LARRY LEON Supervising Prescribing Practitioner Medical Doctor 80072 10/19/2026
ALLEN, PATRICIA B MD Supervising Prescribing Practitioner Medical Doctor 66057 10/19/2026
BAKER, DONALD JAMES Supervising Prescribing Practitioner Medical Doctor 36388 10/19/2026
BANERJEE, PUSHPAL R Supervising Prescribing Practitioner Osteopathic Physician 8141 10/19/2026
BEATTY, ROBERT PATRICK Supervising Prescribing Practitioner Medical Doctor 97579 10/19/2026
CAHILL, TIMOTHY JAMES Supervising Prescribing Practitioner Medical Doctor 97443 10/19/2026
CAMBA, VICTORIA AQUINO Supervising Prescribing Practitioner Osteopathic Physician 8584 10/19/2026
CAMBO, JORGE LUIS Supervising Prescribing Practitioner Medical Doctor 48428 10/19/2026
CARLSON, TODD EVAN Supervising Prescribing Practitioner Medical Doctor 96453 10/19/2026
CARTER, INGRID Supervising Prescribing Practitioner Osteopathic Physician 9824 10/19/2026
CHANLATTE-ITHIER, MARINO Supervising Prescribing Practitioner Medical Doctor 117097 10/19/2026
CHANMUGAM, JAY CROSSETTE Supervising Prescribing Practitioner Osteopathic Physician 8600 10/19/2026
CHARFEN, CHARLOTTE NEWMAN Supervising Prescribing Practitioner Medical Doctor 97458 10/19/2026
COLOM, RAYMOND J Supervising Prescribing Practitioner Medical Doctor 70197 10/19/2026
COLON, BEATRIZ Supervising Prescribing Practitioner Medical Doctor 88137 10/19/2026
CONDONO, ELAINE SUSANNE Supervising Prescribing Practitioner Osteopathic Physician 11752 10/19/2026
COUSSA, MICHAEL LEON Supervising Prescribing Practitioner Medical Doctor 100728 10/19/2026
COWLES, DANA NATHANIEL Supervising Prescribing Practitioner Osteopathic Physician 9752 10/19/2026
CURTIS, CRAIG T MD Supervising Prescribing Practitioner Medical Doctor 77552 10/19/2026
DAPHTARY, UDAY DILIP Supervising Prescribing Practitioner Medical Doctor 62693 10/19/2026
DE LA ROZA, MELISSA E M D Supervising Prescribing Practitioner Medical Doctor 105602 10/19/2026
DEANGELIS, CHRISTINA SUSI Supervising Prescribing Practitioner Osteopathic Physician 11556 10/19/2026
DURHAM, RENATO MARIO Supervising Prescribing Practitioner Medical Doctor 67647 10/19/2026
EPSTEIN, FREDERICK B Supervising Prescribing Practitioner Medical Doctor 44447 10/19/2026
FALCIGNO, PAMELA MOHR MD Supervising Prescribing Practitioner Medical Doctor 58723 10/19/2026
FOPPE, MARK ANDREW DO Supervising Prescribing Practitioner Osteopathic Physician 8701 10/19/2026
GOLBERG, JONATHAN ISIDORE Supervising Prescribing Practitioner Medical Doctor 88325 10/19/2026
GONZALEZ, JUAN PABLO Supervising Prescribing Practitioner Medical Doctor 88444 10/19/2026
GOODMAN, GARY ALLEN Supervising Prescribing Practitioner Medical Doctor 95652 10/19/2026
GRABER, MYLISSA AMY Supervising Prescribing Practitioner Medical Doctor 82335 10/19/2026
GRAYBILL, JAMES WILLIAM III Supervising Prescribing Practitioner Medical Doctor 97747 10/19/2026
HALPERN, JOHN IRVING HOWARD Supervising Prescribing Practitioner Osteopathic Physician 6052 10/19/2026
HAMADEH, MAZEN B Supervising Prescribing Practitioner Medical Doctor 71725 10/19/2026
HAMILTON, CARLTON CARMICHAEL II Supervising Prescribing Practitioner Medical Doctor 87840 10/19/2026
HARBOUR, DAVID MARK Supervising Prescribing Practitioner Osteopathic Physician 8124 10/19/2026
HAWS, KIRBY W DO Supervising Prescribing Practitioner Osteopathic Physician 5101 10/19/2026
HERNANDEZ, ALEXANDER VALENTINE Supervising Prescribing Practitioner Medical Doctor 85447 10/19/2026
HILL, CHRISTOPHER CAVENAUGH Supervising Prescribing Practitioner Osteopathic Physician 8088 10/19/2026
HONEGGER, ROBERT ALAN Supervising Prescribing Practitioner Medical Doctor 46950 10/19/2026
JACKSON, MARK MAURICE Supervising Prescribing Practitioner Osteopathic Physician 10806 10/19/2026
JASIMUDDIN, SHEIKH KHWAJA Supervising Prescribing Practitioner Medical Doctor 100463 10/19/2026
KRABBE, JANICE MARIE M D Supervising Prescribing Practitioner Medical Doctor 73590 10/19/2026
LAMBIE, DAVID SCOTT SR Supervising Prescribing Practitioner Osteopathic Physician 11824 10/19/2026
LAMBIE, NATALIE DAWN Supervising Prescribing Practitioner Osteopathic Physician 11732 10/19/2026
LAVENE, DANIEL CARL M D Supervising Prescribing Practitioner Medical Doctor 63148 10/19/2026
LEE, YONG JAE MD Supervising Prescribing Practitioner Medical Doctor 98219 10/19/2026
LINETT, MICHAEL L Supervising Prescribing Practitioner Osteopathic Physician 9876 10/19/2026
LOPEZ ESTRADA, JOSE MIGUEL Supervising Prescribing Practitioner Medical Doctor 86220 10/19/2026
MALLORY, GEORGE EDWARD D O Supervising Prescribing Practitioner Osteopathic Physician 5771 10/19/2026
MARQUIT, SETH JEREMY MD Supervising Prescribing Practitioner Medical Doctor 82629 10/19/2026
MASON, ANDREW DANIEL Supervising Prescribing Practitioner Medical Doctor 67763 10/19/2026
MCCONKEY, JOSHUA MICHAEL Supervising Prescribing Practitioner Medical Doctor 100092 10/19/2026
MESRI, JANET Supervising Prescribing Practitioner Medical Doctor 84001 10/19/2026
MICHAEL, ALBERT MAWAD Supervising Prescribing Practitioner Medical Doctor 108947 10/19/2026
MILLER, JACKIE R Supervising Prescribing Practitioner Osteopathic Physician 5051 10/19/2026
MITCHELL, CRAIG ROBERT MD Supervising Prescribing Practitioner Medical Doctor 102920 10/19/2026
MOURSI, HOUSAM Supervising Prescribing Practitioner Osteopathic Physician 7173 10/19/2026
MURRY, JOHN PAUL Supervising Prescribing Practitioner Medical Doctor 78711 10/19/2026
OLIVERA, ESTEBAN MD Supervising Prescribing Practitioner Medical Doctor 65780 10/19/2026
OUTTEN, STEPHEN S Supervising Prescribing Practitioner Osteopathic Physician 11449 10/19/2026
PARADIS, KRISTYNA D Supervising Prescribing Practitioner Osteopathic Physician 8737 10/19/2026
PATTON, RANJINI VERNUGOPAL Supervising Prescribing Practitioner Medical Doctor 96986 10/19/2026
PELLY, AMANDA JANE Supervising Prescribing Practitioner Medical Doctor 125040 10/19/2026
POLSKY, MARK DAVID Supervising Prescribing Practitioner Osteopathic Physician 6275 10/19/2026
POPLI, VERONICA SIKKA Supervising Prescribing Practitioner Medical Doctor 120954 10/19/2026
REDMAN, DANNY Supervising Prescribing Practitioner Medical Doctor 91747 10/19/2026
REHMAN, ARIF UR Supervising Prescribing Practitioner Medical Doctor 83632 10/19/2026
RICE, TODD M MD Supervising Prescribing Practitioner Medical Doctor 102297 10/19/2026
RILEY, SCOTT IVAN Supervising Prescribing Practitioner Medical Doctor 101153 10/19/2026
SALTER, BRENDA HOPKINS Supervising Prescribing Practitioner Medical Doctor 56250 10/19/2026
SCHULTZ, JASON DONALD MD Supervising Prescribing Practitioner Medical Doctor 96405 10/19/2026
SINHA, ASOK KUMAR DR Supervising Prescribing Practitioner Medical Doctor 113902 10/19/2026
SKIPPER, MARTIN DAVID MD Supervising Prescribing Practitioner Medical Doctor 72577 10/19/2026
SMITH, TODD BRIAN Supervising Prescribing Practitioner Medical Doctor 70356 10/19/2026
SNYDER, JAMES ALLEN Supervising Prescribing Practitioner Osteopathic Physician 9812 10/19/2026
SOONTHAROTHAI, REWADEE Supervising Prescribing Practitioner Medical Doctor 108326 10/19/2026
SOTO, ZATCHEL JOAQUIN MD Supervising Prescribing Practitioner Medical Doctor 78008 10/19/2026
STERN, JOEL BENJAMIN Supervising Prescribing Practitioner Medical Doctor 76597 10/19/2026
STINARD, ALEX D Supervising Prescribing Practitioner Medical Doctor 101744 10/19/2026
THOMAS, ROBERT LOUIS Supervising Prescribing Practitioner Osteopathic Physician 8592 10/19/2026
TSOLAKIS, PHILIP CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 71708 10/19/2026
TULSIAK, DAVID F Supervising Prescribing Practitioner Medical Doctor 44589 10/19/2026
VULETICH, MARK ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 8108 10/19/2026
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 10/19/2026
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 10/19/2026
WARNER, FREDERICK TODD Supervising Prescribing Practitioner Medical Doctor 86394 10/19/2026
WESTAFER, JOHN MICHAEL Supervising Prescribing Practitioner Medical Doctor 37059 10/19/2026
WHITE, MICHAEL JAMES Supervising Prescribing Practitioner Medical Doctor 87716 10/19/2026
YOUNG, JAMES ALBERT Supervising Prescribing Practitioner Osteopathic Physician 7670 10/19/2026

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/19/2026



* 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.