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DEREK C JACKSON

License Number: PA9101356

Data As Of 10/22/2026

Profession
Physician Assistant
License
PA9101356
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
07/19/2000
Address of Record
Advanced Medical Providers
8551 West Sunrise Boulevard
Suite 209
PLANTATION, FL 33322
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
ACEVEDO-SEGUI, MIGUEL ANGEL Supervising Prescribing Practitioner Medical Doctor 72458 10/21/2026
ACOSTA TAPIA, HECTOR JAVIER Supervising Prescribing Practitioner Medical Doctor 95153 10/21/2026
ADEWALE, ADEMOLA Supervising Prescribing Practitioner Medical Doctor 87916 10/21/2026
AKKARA, ANNIE LUKA Supervising Prescribing Practitioner Medical Doctor 97859 10/21/2026
ALAMIA, PETER A Supervising Prescribing Practitioner Osteopathic Physician 12814 10/21/2026
BASTERRECHEA, HUGO ROMULO Supervising Prescribing Practitioner Medical Doctor 104965 10/21/2026
BAUMGARDNER, MAXEN LANE Supervising Prescribing Practitioner Osteopathic Physician 10872 10/21/2026
BIRENBAUM, DALE SCOTT MD Supervising Prescribing Practitioner Medical Doctor 72696 10/21/2026
BLEVINS, GRAIG EDWARD Supervising Prescribing Practitioner Osteopathic Physician 12408 10/21/2026
BOWLS, BRADFORD JORDAN Supervising Prescribing Practitioner Medical Doctor 76194 10/21/2026
BRAHMBHATT, ALKESH PRAVIN Supervising Prescribing Practitioner Osteopathic Physician 8985 10/21/2026
BRIDGE, LAUREN ELIZABETH Supervising Prescribing Practitioner Medical Doctor 118630 10/21/2026
BUFFKIN, KIMBERLY REBECCA Supervising Prescribing Practitioner Medical Doctor 98372 10/21/2026
CABATU, AMABEL-JOVAN CHUA MD Supervising Prescribing Practitioner Medical Doctor 96128 10/21/2026
CAMACHO-ACEVEDO, LESLIE ROSIE Supervising Prescribing Practitioner Medical Doctor 125213 10/21/2026
CAMPIS VAZQUEZ, LUIS R Supervising Prescribing Practitioner Medical Doctor 124806 10/21/2026
CARON, JESSE ANTHONY Supervising Prescribing Practitioner Medical Doctor 99918 10/21/2026
CELESTE, JORDAN GIPE ROGERS MD Supervising Prescribing Practitioner Medical Doctor 118489 10/21/2026
CHARNAS, JEANNE MARIE SMREKAR Supervising Prescribing Practitioner Medical Doctor 72486 10/21/2026
CHESLOCK, TIMOTHY JOHN Supervising Prescribing Practitioner Osteopathic Physician 12099 10/21/2026
CHOI, SHEUNG-FU SEAN Supervising Prescribing Practitioner Osteopathic Physician 8419 10/21/2026
CISNEROS, LEONARDO Supervising Prescribing Practitioner Osteopathic Physician 8015 10/21/2026
CLEVELAND, RENEE MICHELLE Supervising Prescribing Practitioner Medical Doctor 79367 10/21/2026
COLON MENDEZ, MANUEL J Supervising Prescribing Practitioner Medical Doctor 127869 10/21/2026
COOPER, HERBERT PRESS III Supervising Prescribing Practitioner Medical Doctor 91330 10/21/2026
CORTES-BELEN, ERNESTO MD Supervising Prescribing Practitioner Medical Doctor 76249 10/21/2026
CUBERO, GISEL HERMINIA Supervising Prescribing Practitioner Medical Doctor 127115 10/21/2026
CUBERO, ISMAEL CANDIDO Supervising Prescribing Practitioner Medical Doctor 126889 10/21/2026
DALEY, JANIN CHRISTIN Supervising Prescribing Practitioner Medical Doctor 123412 10/21/2026
DEJESUS, OTILIA Supervising Prescribing Practitioner Medical Doctor 105497 10/21/2026
DENNEY, CLIFFORD JOSEPH MD Supervising Prescribing Practitioner Medical Doctor 106797 10/21/2026
DIAZ BALZAC, ROBERTO J Supervising Prescribing Practitioner Medical Doctor 127423 10/21/2026
DIAZ, VANESSA IOVANNA Supervising Prescribing Practitioner Medical Doctor 81889 10/21/2026
DOTSON, TRACE M Supervising Prescribing Practitioner Osteopathic Physician 12691 10/21/2026
ERNDT, STACY L Supervising Prescribing Practitioner Osteopathic Physician 12438 10/21/2026
FERNANDEZ FERNANDEZ, JUAN RAFAEL Supervising Prescribing Practitioner Medical Doctor 127278 10/21/2026
FRIEND, VICKI KAY DO Supervising Prescribing Practitioner Osteopathic Physician 7562 10/21/2026
FRISCH, MARK SCOTT Supervising Prescribing Practitioner Medical Doctor 96093 10/21/2026
GADALEAN, CHRISTINA ANN Supervising Prescribing Practitioner Osteopathic Physician 12344 10/21/2026
GALLEGOS, LAURA ELISA ALDARONDO Supervising Prescribing Practitioner Medical Doctor 107281 10/21/2026
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 10/21/2026
GERVAIS, JULIETTE SELMA Supervising Prescribing Practitioner Medical Doctor 99019 10/21/2026
GOLDMAN, DAVID DO Supervising Prescribing Practitioner Osteopathic Physician 8129 10/21/2026
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 10/21/2026
GRAZIANO, JENNY D Supervising Prescribing Practitioner Medical Doctor 99574 10/21/2026
GREGORY, CHRISTEN NICHOLE MD Supervising Prescribing Practitioner Medical Doctor 118702 10/21/2026
GUZMAN MARTINEZ, SAMUEL Supervising Prescribing Practitioner Medical Doctor 89143 10/21/2026
HAGAN, MARY J Supervising Prescribing Practitioner Osteopathic Physician 13345 10/21/2026
HAMILTON, PAUL HOWARD Supervising Prescribing Practitioner Medical Doctor 109972 10/21/2026
HAUGHEY, JOHN CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 126548 10/21/2026
HAUS, DOUGLAS MARTIN Supervising Prescribing Practitioner Osteopathic Physician 12432 10/21/2026
HERNANDEZ, DENNIS ARNALDO Supervising Prescribing Practitioner Medical Doctor 55104 10/21/2026
KHEANG, SOPAGNA Supervising Prescribing Practitioner Medical Doctor 122694 10/21/2026
KING, PAUL WARREN Supervising Prescribing Practitioner Medical Doctor 32814 10/21/2026
KIRBY, SARA E Supervising Prescribing Practitioner Medical Doctor 113449 10/21/2026
KOSCINSKI, FELICE ILENE Supervising Prescribing Practitioner Medical Doctor 70986 10/21/2026
KRUGER, MARK SAUL Supervising Prescribing Practitioner Medical Doctor 43984 10/21/2026
LANKER, MARK DARRYL Supervising Prescribing Practitioner Medical Doctor 111494 10/21/2026
LAPP, JOHN KOEHLER Supervising Prescribing Practitioner Osteopathic Physician 4816 10/21/2026
LIN, BRYAN PO-JUI Supervising Prescribing Practitioner Osteopathic Physician 11565 10/21/2026
LOPEZ-FERRER, JORGE JUAN Supervising Prescribing Practitioner Medical Doctor 62776 10/21/2026
LUGO, KATIA MARIE Supervising Prescribing Practitioner Medical Doctor 97451 10/21/2026
MALDONADO, CATHERINE Supervising Prescribing Practitioner Medical Doctor 125607 10/21/2026
MANSFIELD, OMAYRA LIZZIE Supervising Prescribing Practitioner Medical Doctor 111757 10/21/2026
MASSUCCI, JAIME LYN Supervising Prescribing Practitioner Medical Doctor 108108 10/21/2026
MAULFAIR, MITCHELL DEAN Supervising Prescribing Practitioner Osteopathic Physician 7054 10/21/2026
MCLAIN, JOHN IV Supervising Prescribing Practitioner Medical Doctor 118207 10/21/2026
MELENDEZ, MAELISA Supervising Prescribing Practitioner Medical Doctor 123350 10/21/2026
MILLARD, CHRISTOPHER J DO Supervising Prescribing Practitioner Osteopathic Physician 6911 10/21/2026
MOLINS, CAROLINE MARIE Supervising Prescribing Practitioner Medical Doctor 107349 10/21/2026
MONROE, JENNIFER ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 12672 10/21/2026
MORA MONTERO, CLARA JULIANA Supervising Prescribing Practitioner Medical Doctor 122709 10/21/2026
MOSTAAN, TROY REZA Supervising Prescribing Practitioner Medical Doctor 115119 10/21/2026
NAZARIO, STEVEN Supervising Prescribing Practitioner Medical Doctor 87429 10/21/2026
NEVALA, WAYNE MICHAEL M D Supervising Prescribing Practitioner Medical Doctor 83654 10/21/2026
NEWBERRY, MARK ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 11941 10/21/2026
NGUYEN, VU PHAN HOANG MD Supervising Prescribing Practitioner Medical Doctor 111802 10/21/2026
NICHOLS, PATRICIA Supervising Prescribing Practitioner Medical Doctor 89338 10/21/2026
NOBIE, BRIAN A Supervising Prescribing Practitioner Medical Doctor 87679 10/21/2026
NUNEZ, RAMON HUNGRIA Supervising Prescribing Practitioner Medical Doctor 95027 10/21/2026
OAKLEY, ANGELA GARCIA M D Supervising Prescribing Practitioner Medical Doctor 56710 10/21/2026
O'BRIEN, PAUL BLAKE MD Supervising Prescribing Practitioner Medical Doctor 95514 10/21/2026
O'GRADY, LISA M Supervising Prescribing Practitioner Medical Doctor 69380 10/21/2026
PAGE, ERNEST II Supervising Prescribing Practitioner Medical Doctor 78546 10/21/2026
PANDYA, KETAN Supervising Prescribing Practitioner Medical Doctor 85671 10/21/2026
PATTANI, SANJAY J Supervising Prescribing Practitioner Medical Doctor 107131 10/21/2026
PELUSO, VANESSA CHRISTINE Supervising Prescribing Practitioner Medical Doctor 89189 10/21/2026
PEREZ, KIRSA FRIDAL Supervising Prescribing Practitioner Medical Doctor 91119 10/21/2026
POOLE, RICHARD M DO Supervising Prescribing Practitioner Osteopathic Physician 13735 10/21/2026
POOLE, WILLIAM RANDALL Supervising Prescribing Practitioner Medical Doctor 51112 10/21/2026
PORTER, JASON A Supervising Prescribing Practitioner Medical Doctor 106601 10/21/2026
PUTIGNA, FLORIANO Supervising Prescribing Practitioner Osteopathic Physician 8905 10/21/2026
QUINONES, ANINES Supervising Prescribing Practitioner Medical Doctor 101930 10/21/2026
REDDEN, DANYELLE ANN Supervising Prescribing Practitioner Medical Doctor 110215 10/21/2026
RIVERA, HECTOR LUIS MD Supervising Prescribing Practitioner Medical Doctor 123989 10/21/2026
RODRIGUEZ, EDGARDO MD Supervising Prescribing Practitioner Medical Doctor 65647 10/21/2026
RODRIGUEZ, MARITZA RODRIGUEZ Supervising Prescribing Practitioner Medical Doctor 69301 10/21/2026
ROSARIO, JAVIER E Supervising Prescribing Practitioner Medical Doctor 119089 10/21/2026
SANDERS, BRETT DOUGLAS Supervising Prescribing Practitioner Medical Doctor 115172 10/21/2026
SANTANA, LENIEL Supervising Prescribing Practitioner Medical Doctor 119053 10/21/2026
SARKARATI, DAVID Supervising Prescribing Practitioner Osteopathic Physician 9010 10/21/2026
SCHIEL, JASON Supervising Prescribing Practitioner Osteopathic Physician 12534 10/21/2026
SCHWARTZ, REGAN ANDRE MD Supervising Prescribing Practitioner Medical Doctor 69639 10/21/2026
SHAMJI, SHAHEEN K Supervising Prescribing Practitioner Osteopathic Physician 12839 10/21/2026
SIMMONDS, YARELIES MALAVE Supervising Prescribing Practitioner Medical Doctor 126238 10/21/2026
SING, WEYLIN Supervising Prescribing Practitioner Osteopathic Physician 8721 10/21/2026
SIROTKIN, LEELA STELLA Supervising Prescribing Practitioner Medical Doctor 106409 10/21/2026
SLACK, KENNETH VERNON Supervising Prescribing Practitioner Medical Doctor 119973 10/21/2026
SMOLTER, PATRICIA ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 12707 10/21/2026
SUPPIAH, ARAVINTHAN Supervising Prescribing Practitioner Medical Doctor 104048 10/21/2026
TEMPEL, RICHARD ANDREW MD Supervising Prescribing Practitioner Medical Doctor 102329 10/21/2026
THABET, ASHRAF Supervising Prescribing Practitioner Osteopathic Physician 11277 10/21/2026
TIRADO, ALFREDO Supervising Prescribing Practitioner Medical Doctor 99543 10/21/2026
TOMECSEK, KEVIN JOSEPH Supervising Prescribing Practitioner Medical Doctor 123302 10/21/2026
TORRES-CASTRO, ROLANDO Supervising Prescribing Practitioner Medical Doctor 127326 10/21/2026
TRAN, BRIAN HOANG Supervising Prescribing Practitioner Osteopathic Physician 10404 10/21/2026
TRIMBLE, JOHN H Supervising Prescribing Practitioner Medical Doctor 47435 10/21/2026
VALENTE, VINCENT GERARD DO Supervising Prescribing Practitioner Osteopathic Physician 10118 10/21/2026
VANDERVELDE, KRISTEN C Supervising Prescribing Practitioner Osteopathic Physician 12002 10/21/2026
VIJAPURA, CHIRAG ASHIT Supervising Prescribing Practitioner Osteopathic Physician 13094 10/21/2026
WARD, REGINALD ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 119503 10/21/2026
WARTELLA, JOHN DOUGLAS MD Supervising Prescribing Practitioner Medical Doctor 99649 10/21/2026
WEAGRAFF, NATHAN ZACHARY Supervising Prescribing Practitioner Medical Doctor 123030 10/21/2026
WEST, HAROLD KENNETH JR Supervising Prescribing Practitioner Medical Doctor 36939 10/21/2026
YORKE, JENNIFER A Supervising Prescribing Practitioner Osteopathic Physician 13134 10/21/2026
YOUNG, VICTOR CHANCE Supervising Prescribing Practitioner Osteopathic Physician 8339 10/21/2026

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/22/2026



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** 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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