License Verification

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EARL NORMAN MILLER III

License Number: PA9100657

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9100657
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/14/1998
Address of Record
SOUTHEAST ORTHOPEDIC SPECIALIS
6800 Southpoint Pkwy
Ste. 300
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10475 Centurion Parkway Southeast Orthopedic Specialists Suite 220
JACKSONVILLE, FL 32256
Address
4565 US HWY 17 Southeast Orthopedic Specialists
FLEMING ISLAND, FL 32003
Address
2627 Riverside Ave 3rd Floor Southeast Orthopedic Specialists
JACKSONVILLE, FL 32204
Address
232 Ponte Verda Park Dr. Southeast Orthopedic Specialists
PNTE VDRA BCH, FL 32082
Address
15255 MAX LEGGET PKWY 5TH Southeast Orthopedic Specialists
JACKSONVILLE, FL 32218
Address
4268 Oldfield Crossing Drive Southeast Orthopedic Specialists Ste. 201
JACKSONVILLE, FL 32223
Name Relationship Profession License Effective Date
DUFFY, GAVAN PATRICK MD Supervising Dispensing Practitioner Medical Doctor 80485 09/27/2010

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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 12/23/2024



* 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.


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