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MINDY EVANGELISTI

License Number: PA9118901

Data As Of 10/5/2024

Profession
Physician Assistant
License
PA9118901
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/19/2024
Address of Record
3100 e fletcher ave
TAMPA, FL 33613
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
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 09/01/2024
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 09/01/2024
ANDERSON, HAL Supervising Prescribing Practitioner Medical Doctor 162015 09/01/2024
ARENDS, DREW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16069 09/01/2024
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 09/01/2024
ATEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 109582 09/01/2024
ATLAS, YELENA Supervising Prescribing Practitioner Medical Doctor 149603 09/01/2024
BARNES, RICHARD R JR Supervising Prescribing Practitioner Medical Doctor 69285 09/01/2024
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 09/01/2024
BERGMAN, JEFFERY JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 11615 07/09/2024
BISHOP, TRACY MARIE Supervising Prescribing Practitioner Osteopathic Physician 16617 07/09/2024
BOLAND, KEVIN PATRICK Supervising Prescribing Practitioner Osteopathic Physician 12732 07/09/2024
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 07/09/2024
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 07/09/2024
BREWER, DAVID Supervising Prescribing Practitioner Osteopathic Physician 18768 07/09/2024
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 07/09/2024
BUCHANAN, CURTIS BLAKE Supervising Prescribing Practitioner Medical Doctor 131632 07/09/2024
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 07/09/2024
BULTRON-RODRIGUEZ, CRISTINA Supervising Prescribing Practitioner Medical Doctor 98867 07/09/2024
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 07/09/2024
CHERIAN, LESLIE Supervising Prescribing Practitioner Osteopathic Physician 16969 07/09/2024
CHRYSTAL, SEAN ALLAN Supervising Prescribing Practitioner Osteopathic Physician 18317 07/09/2024
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 07/09/2024
CONLEY, AMY RUBEN Supervising Prescribing Practitioner Medical Doctor 79991 07/09/2024
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 07/09/2024
CROWE, DONALD W Supervising Prescribing Practitioner Medical Doctor 43726 07/09/2024
CUEVAS, DANIEL LIM Supervising Prescribing Practitioner Medical Doctor 129675 07/09/2024
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 07/09/2024
D'AMBROSIO, ASHLEY JANE Supervising Prescribing Practitioner Medical Doctor 150911 07/09/2024
DAMIANO, THOMAS R Supervising Prescribing Practitioner Medical Doctor 147160 07/09/2024
DAWKINS, DONALD Supervising Prescribing Practitioner Osteopathic Physician 10160 07/09/2024
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 07/09/2024
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 07/09/2024
DEWAN, VAIL LEE MD Supervising Prescribing Practitioner Medical Doctor 93083 07/09/2024
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 07/09/2024
DIXON, MARK DALE MD Supervising Prescribing Practitioner Medical Doctor 63074 07/09/2024
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 07/09/2024
FASIUDDIN, NAJAM Supervising Prescribing Practitioner Osteopathic Physician 15006 07/09/2024
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 07/09/2024
FORTSON, SEAN JAMISON Supervising Prescribing Practitioner Osteopathic Physician 8702 07/09/2024
FRANCIS, JEFFREY Supervising Prescribing Practitioner Medical Doctor 155906 07/09/2024
FUCARINO, MATTHEW DANIEL Supervising Prescribing Practitioner Medical Doctor 110000 07/09/2024
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 07/09/2024
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 07/09/2024
GRANT-LEVY, TATIA R DO Supervising Prescribing Practitioner Osteopathic Physician 7331 07/09/2024
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 07/09/2024
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 07/09/2024
HANNA, RAAFAT MICHEL Supervising Prescribing Practitioner Medical Doctor 69412 07/09/2024
HART, CALEN GENE Supervising Prescribing Practitioner Medical Doctor 156116 07/09/2024
HASKINS, KERRY HUGH MD Supervising Prescribing Practitioner Medical Doctor 49468 07/09/2024
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 07/09/2024
HLAVATY, HALEY DANIELLE Supervising Prescribing Practitioner Osteopathic Physician 16836 07/09/2024
HUGHES, MICHAEL Supervising Prescribing Practitioner Medical Doctor 156138 07/09/2024
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 07/09/2024
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 07/09/2024
HUND, JONATHAN Supervising Prescribing Practitioner Medical Doctor 162983 07/09/2024
IORIO, DOMINIC STEPHEN Supervising Prescribing Practitioner Medical Doctor 155302 07/09/2024
JEAN-FRANCOIS, JULIEN Supervising Prescribing Practitioner Medical Doctor 145041 07/09/2024
JUARBE, MARIFEL Supervising Prescribing Practitioner Medical Doctor 96542 07/09/2024
KARAGEORGIADIS, ALEXANDER STEVEN Supervising Prescribing Practitioner Medical Doctor 136223 07/09/2024
KENNEY, RYAN JOHN Supervising Prescribing Practitioner Medical Doctor 135829 07/09/2024
KHOUJAH, DANYA Supervising Prescribing Practitioner Medical Doctor 156111 07/09/2024
KING, ROBYN Supervising Prescribing Practitioner Osteopathic Physician 15023 07/09/2024
KIRBY, SARA E Supervising Prescribing Practitioner Medical Doctor 113449 07/09/2024
KIRTZ, JEREMY FECHTER Supervising Prescribing Practitioner Medical Doctor 108993 07/09/2024
KUMAR, DAVID RAJENDRA Supervising Prescribing Practitioner Medical Doctor 159475 07/09/2024
LACAYO BAEZ, MARCELO JOSE Supervising Prescribing Practitioner Medical Doctor 140238 07/09/2024
LAMBIE, NATALIE DAWN Supervising Prescribing Practitioner Osteopathic Physician 11732 07/09/2024
LAMEE, ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 17580 07/09/2024
LANCASTER, CHRISTINE BARONE Supervising Prescribing Practitioner Medical Doctor 95506 07/09/2024
LAND, LARRY LEE Supervising Prescribing Practitioner Medical Doctor 108914 07/09/2024
LEE, EUGENE C Supervising Prescribing Practitioner Medical Doctor 115521 07/09/2024
LISANKIE, MATTHEW JOSEPH II Supervising Prescribing Practitioner Medical Doctor 132249 07/10/2024
LONGLEY, MICHAEL BRUCE Supervising Prescribing Practitioner Medical Doctor 94125 07/09/2024
LOYD, ANNA MAE Supervising Prescribing Practitioner Osteopathic Physician 12492 07/10/2024
MADAR, MERCI GRACE Supervising Prescribing Practitioner Medical Doctor 117554 07/09/2024
MALAGON, BRITTANY FAYE Supervising Prescribing Practitioner Medical Doctor 140228 07/09/2024
MARGERUM, GAIL SHAW Supervising Prescribing Practitioner Medical Doctor 98283 07/09/2024
MARTINO, ELIZABETH Supervising Prescribing Practitioner Medical Doctor 140956 07/09/2024
MATHUR, MONAL PATEL Supervising Prescribing Practitioner Medical Doctor 101062 07/09/2024
MATHUR, RAJNEESH Supervising Prescribing Practitioner Osteopathic Physician 10264 07/09/2024
MCINTOSH, SAMANTHA ALEXINE Supervising Prescribing Practitioner Medical Doctor 145422 07/09/2024
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 07/09/2024
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 07/09/2024
MILLS, TYLER Supervising Prescribing Practitioner Osteopathic Physician 18796 06/27/2024
MONTOYA, DENNIS Supervising Prescribing Practitioner Medical Doctor 113199 06/27/2024
NANAVATI, POOJA Supervising Prescribing Practitioner Medical Doctor 131540 06/27/2024
NAPPI, ALEX Supervising Prescribing Practitioner Medical Doctor 125466 06/27/2024
NEWMAN, ALISA JANELL Supervising Prescribing Practitioner Medical Doctor 146748 06/27/2024
OCZYPOK, MATTHEW PAUL Supervising Prescribing Practitioner Medical Doctor 158415 06/27/2024
ORTOLANI, MARK TIMOTHY Supervising Prescribing Practitioner Medical Doctor 156092 06/27/2024
PARTYKA, BRONISLAW J Supervising Prescribing Practitioner Medical Doctor 114822 06/27/2024
PATCH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 132395 06/27/2024
PEPE, JOSEPH JR Supervising Prescribing Practitioner Osteopathic Physician 16193 06/27/2024
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/27/2024
PERRY, PAMELA MARIA MD Supervising Prescribing Practitioner Medical Doctor 108679 06/27/2024
PORTO, ADRIANA Supervising Prescribing Practitioner Medical Doctor 143122 06/27/2024
POUND, AMY MARIE Supervising Prescribing Practitioner Medical Doctor 148582 06/27/2024
PRATOR, PAUL CARL M D Supervising Prescribing Practitioner Medical Doctor 92865 06/27/2024
PURCELL, JENNIFER Supervising Prescribing Practitioner Osteopathic Physician 18765 06/27/2024
RAGBEER, DAVID Supervising Prescribing Practitioner Osteopathic Physician 17806 06/27/2024
RATHKAMP, SKYLER Supervising Prescribing Practitioner Medical Doctor 158647 06/27/2024
REYNOLDS, KYLE Supervising Prescribing Practitioner Osteopathic Physician 18684 06/27/2024
ROGERS, HOWARD LEE Supervising Prescribing Practitioner Medical Doctor 71304 06/27/2024
ROMANO, FREDERICK P Supervising Prescribing Practitioner Osteopathic Physician 11078 06/27/2024
ROSA-DE JESUS, CLARINES Supervising Prescribing Practitioner Medical Doctor 110997 06/27/2024
ROY, BRIAN RENE Supervising Prescribing Practitioner Osteopathic Physician 10273 06/27/2024
RUBERO, JOSE A Supervising Prescribing Practitioner Medical Doctor 84660 06/27/2024
SAAD, AMANDA Supervising Prescribing Practitioner Medical Doctor 160404 06/27/2024
SAMUEL, PETER AIAD Supervising Prescribing Practitioner Medical Doctor 132116 06/27/2024
SANTAYANA, RICARDO JR Supervising Prescribing Practitioner Medical Doctor 119115 06/27/2024
SCHWARTZ, MATTHEW ABRAM Supervising Prescribing Practitioner Medical Doctor 135491 06/27/2024
SCOTT, DAVID Supervising Prescribing Practitioner Medical Doctor 143679 06/27/2024
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 06/27/2024
SELLEY, VICTORIA HUTTO Supervising Prescribing Practitioner Osteopathic Physician 15469 06/27/2024
SHAH, SHIRALI Supervising Prescribing Practitioner Medical Doctor 134469 06/26/2024
SHERIFF, ALEXANDRA HELENA Supervising Prescribing Practitioner Medical Doctor 159911 06/26/2024
SHOKUR, NIKITA Supervising Prescribing Practitioner Medical Doctor 162627 06/26/2024
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 06/26/2024
SMITH, MATTHEW WAYNE Supervising Prescribing Practitioner Osteopathic Physician 16446 06/26/2024
SNEAD, THOMAS LEE II Supervising Prescribing Practitioner Medical Doctor 116520 06/26/2024
STAFF, KRISTINE E Supervising Prescribing Practitioner Medical Doctor 117924 06/26/2024
SWAN, TRICIA BRENEE Supervising Prescribing Practitioner Medical Doctor 107005 06/26/2024
TALADRIZ, ARTURO Supervising Prescribing Practitioner Medical Doctor 66011 06/26/2024
THOMAS, SHERWIN ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 149747 06/26/2024
TIMMEL, MARK Supervising Prescribing Practitioner Medical Doctor 151869 06/26/2024
UMANSKY, AARON JOSEPH Supervising Prescribing Practitioner Medical Doctor 151420 06/26/2024
VACCARO, LISA MARIE Supervising Prescribing Practitioner Osteopathic Physician 18651 06/26/2024
VAN ETTEN, BRITTNEY MICHELLE Supervising Prescribing Practitioner Osteopathic Physician 17756 06/26/2024
VAN ETTEN, CHRISTOPHER JAMES Supervising Prescribing Practitioner Osteopathic Physician 16829 06/26/2024
VELASCO, WILLIAM J Supervising Prescribing Practitioner Medical Doctor 121914 06/26/2024
WALDMAN, ALEX JEFFREY Supervising Prescribing Practitioner Medical Doctor 143889 06/26/2024
WENZEL, SERGE ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 14350 06/28/2024
WHITE, JEREMY V Supervising Prescribing Practitioner Osteopathic Physician 11399 06/26/2024
WILLIAMS, ARTHUR LEE II Supervising Prescribing Practitioner Medical Doctor 107960 06/26/2024
YASAVOLIAN, MATTHEW Supervising Prescribing Practitioner Medical Doctor 137626 06/26/2024
YOHANNES-PETERS, FITSUM Supervising Prescribing Practitioner Medical Doctor 92187 06/26/2024
YONTECK, FREDERICK TODD Supervising Prescribing Practitioner Medical Doctor 87287 06/26/2024
ZAYAS MALDONADO, DAY ONILL Supervising Prescribing Practitioner Medical Doctor 131573 06/26/2024

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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 10/5/2024



* 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.