License Verification

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DEBORAH JEAN MENDOZA

License Number: PA3658

Data As Of 4/28/2025

Profession
Physician Assistant
License
PA3658
License Status
OBLIGATIONS/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/13/1998
Address of Record
200 Southpark Blvd
ST AUGUSTINE, FL 32086
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date
BERNARD, JAMES DONALD DO Supervising Prescribing Practitioner Osteopathic Physician 3277 11/19/2022
GENEBRIERA DELAMO, JOSEP Supervising Prescribing Practitioner Medical Doctor 109607 06/12/2019

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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 4/28/2025



* 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.