License Verification

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JUSTIN LENTZ

License Number: PA9117333

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9117333
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/20/2023
Address of Record
730 Malabar Rd Suite B
MALABAR, FL 32950
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
ABD EL AZIZ, AHMED ESSAM Supervising Prescribing Practitioner Medical Doctor 168022 06/30/2024
ARNOLD, JOHN L JR Supervising Prescribing Practitioner Medical Doctor 90636 10/18/2023
BARABAS, ALEXANDRU Supervising Prescribing Practitioner Medical Doctor 133657 10/18/2023
BENSON, RACHEL Supervising Prescribing Practitioner Medical Doctor 169504 07/31/2024
CONNOLLY, PATRICK J Supervising Prescribing Practitioner Osteopathic Physician 19382 05/08/2024
DAVIDSON-JOCKOVICH, DAWN MARIE MD Supervising Prescribing Practitioner Medical Doctor 66378 10/18/2023
FERNANDEZ, JOHN RUSSELL Supervising Prescribing Practitioner Medical Doctor 65400 10/18/2023
GLAZER, KELLY SYLVIA Supervising Prescribing Practitioner Medical Doctor 149363 05/08/2024
HARBOUR, DAVID MARK Supervising Prescribing Practitioner Osteopathic Physician 8124 05/08/2024
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 03/06/2023
HENDRIX, TIMOTHY WAYNE Supervising Prescribing Practitioner Medical Doctor 65142 05/08/2023
HOLCOMBE, KEVIN WESTRAY Supervising Prescribing Practitioner Medical Doctor 112246 10/18/2023
HUGHES, PATRICK GRANT Supervising Prescribing Practitioner Osteopathic Physician 14064 10/18/2023
KAPPER, JORDAN Supervising Prescribing Practitioner Medical Doctor 159916 05/08/2024
LARICE, WALESKA Supervising Prescribing Practitioner Medical Doctor 117446 08/02/2024
LEVY, BRIAN EDWARD Supervising Prescribing Practitioner Medical Doctor 155132 10/18/2023
LIN, EDWARD C Supervising Prescribing Practitioner Osteopathic Physician 11547 05/08/2024
MADSEN, ERIK ARTHUR Supervising Prescribing Practitioner Medical Doctor 163200 05/08/2024
MALLORY, GEORGE EDWARD D O Supervising Prescribing Practitioner Osteopathic Physician 5771 05/08/2024
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 10/18/2023
MAYOR-DAVIES, JUDY ANN Supervising Prescribing Practitioner Medical Doctor 73801 10/18/2023
MCINTYRE, MOLLY LAUREN Supervising Prescribing Practitioner Medical Doctor 116923 05/08/2023
MELLO, PAUL M Supervising Prescribing Practitioner Medical Doctor 142742 05/08/2024
MITCHELL, WILLIAM CLAY III Supervising Prescribing Practitioner Medical Doctor 129135 10/18/2023
NEWSTEAD, SUZANNE ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 11216 10/18/2023
PAPAZIAN, KATHLEEN IVY Supervising Prescribing Practitioner Osteopathic Physician 18744 10/18/2023
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 10/18/2023
PITTS, DAPHNE MARIAN MD Supervising Prescribing Practitioner Medical Doctor 90371 10/09/2024
RABOLLI, JULIA Supervising Prescribing Practitioner Osteopathic Physician 15707 10/18/2023
SAVANI, PARESH D MD Supervising Prescribing Practitioner Medical Doctor 95295 05/19/2024
TERWILLIGER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 138339 06/14/2024
VELASCO, RODRIGO ERNESTO Supervising Prescribing Practitioner Medical Doctor 136030 10/18/2023
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 05/08/2024
WASHINGTON, MOSES ANTHONY Supervising Prescribing Practitioner Medical Doctor 131007 05/08/2024
WILKINSON, JOHN J Supervising Prescribing Practitioner Medical Doctor 131732 10/02/2024
WILSON, HOLLY JO Supervising Prescribing Practitioner Medical Doctor 98782 10/02/2024
ZIMMERMAN, ETHAN DUANE Supervising Prescribing Practitioner Osteopathic Physician 17256 10/18/2023

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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.