License Verification

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MICHAELA BROOKE CARSON

License Number: PA9117511

Data As Of 11/21/2025

Profession
Physician Assistant
License
PA9117511
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
06/05/2023
Address of Record
7321 Park Blvd
PINELLAS PARK, FL 33781
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10735 SR 64 E
BRADENTON, FL 34212
Address
2200 Tamiami Trail
PORT CHARLOTTE, FL 33948-2177
Address
8849 State Road 52
HUDSON, FL 34667-6742
Address
13256 STATE ROAD 54
ODESSA, FL 33556
Address
34621 US HIGHWAY 19
PALM HARBOR, FL 34684
Address
2404 US HIGHWAY 19
HOLIDAY, FL 34691
Address
4332 Cortez Rd
BRADENTON, FL 34210
Address
10500 Ulmerton Road, Suite 202
LARGO, FL 33771-3544
Address
26812 North Hwy 19
CLEARWATER, FL 33761-3405
Address
3030 4th St N
SAINT PETERSBURG, FL 33704
Address
2420 Gulf to Bay Blvd, Suite 5
CLEARWATER, FL 33765
Address
2200 Tamiami Trail
PORT CHARLOTTE, FL 33948-2177
Address
10943 Causeway Blvd
BRANDON, FL 33511
Address
2102 S. Dale Mabry Hwy
TAMPA, FL 33629
Address
12105 W Linebaugh Ave, Unit 20
TAMPA, FL 33626
Address
408 East Brandon Blvd
BRANDON, FL 33511-5318
Address
3700 US Hwy 98 N, Suite 101
LAKELAND, FL 33809-3861
Address
13610 Bruce B. Downs Blvd
TAMPA, FL 33613-4650
Name Relationship Profession License Effective Date
DAVIS, RANDAL LEE Supervising Prescribing Practitioner Medical Doctor 110579 03/11/2025
WALLACE, RICHARD PETERKIN Supervising Prescribing Practitioner Medical Doctor 85690 06/19/2023

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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 11/21/2025



* 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.