License Verification

Printer Friendly Version

JOHN MATTHEW HALE

License Number: PA9102043

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9102043
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/10/2002
Address of Record
5191 First Coast Tech Pkwy
3rd Floor
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1100 Plantation Island Drive S Suite 220
ST AUGUSTINE, FL 32080
Address
4500 San Pablo Road
JACKSONVILLE, FL 32224
Name Relationship Profession License Effective Date
BECHTLE, PERRY STEVENS JR Supervising Prescribing Practitioner Osteopathic Physician 5904 08/16/2023
BHATTACHARYYA, ANIRBAN Supervising Prescribing Practitioner Medical Doctor 145764 08/25/2023
BURNSIDE, REBECCA Supervising Prescribing Practitioner Medical Doctor 163333 09/15/2023
CANABAL-TORRES, JUAN MANUEL Supervising Prescribing Practitioner Medical Doctor 96305 09/15/2023
CHAUDHARY, SANJAY Supervising Prescribing Practitioner Medical Doctor 145373 09/15/2023
DIAZ MILIAN, RICARDO Supervising Prescribing Practitioner Medical Doctor 146182 08/18/2023
DIVERTIE, GAVIN DOUGLAS Supervising Prescribing Practitioner Medical Doctor 54277 12/04/2023
FREEMAN, MICHELLE LYNN Supervising Prescribing Practitioner Medical Doctor 85856 09/15/2023
GURU, PRAMOD K Supervising Prescribing Practitioner Medical Doctor 126336 09/15/2023
HARRISON, MICHAEL F Supervising Prescribing Practitioner Medical Doctor 144871 09/15/2023
HELGESON, SCOTT ALAN Supervising Prescribing Practitioner Medical Doctor 129072 08/25/2023
KILEY, SEAN PATRICK Supervising Prescribing Practitioner Medical Doctor 108977 09/15/2023
KRAMER, CHRISTOPHER LAWRENCE Supervising Prescribing Practitioner Medical Doctor 160169 09/15/2023
LOWMAN, PHILIP EUGENE Supervising Prescribing Practitioner Medical Doctor 109570 08/07/2023
MALLEA, JORGE MARTIN Supervising Prescribing Practitioner Medical Doctor 109516 09/15/2023
MORENO FRANCO, PABLO CONSTANTINO Supervising Prescribing Practitioner Medical Doctor 112792 09/15/2023
NG, LAUREN KA-WEI Supervising Prescribing Practitioner Medical Doctor 119432 09/15/2023
PANDA, GOVIND Supervising Prescribing Practitioner Medical Doctor 155196 09/15/2023
PEEL, JEFFREY BRENT MD Supervising Prescribing Practitioner Medical Doctor 121861 09/15/2023
QUINONES, QUINTIN JOSE Supervising Prescribing Practitioner Medical Doctor 150880 09/15/2023
REDDY, SWETHA Supervising Prescribing Practitioner Medical Doctor 161421 09/15/2023
SANGHAVI, DEVANG KISHOR Supervising Prescribing Practitioner Medical Doctor 133875 09/15/2023
SHAPIRO, ANNA BOVILL Supervising Prescribing Practitioner Medical Doctor 146725 09/15/2023
SMITH, MICHAEL ANTHONY Supervising Prescribing Practitioner Medical Doctor 156025 08/29/2023
SOTO SOTO, JOSE M Supervising Prescribing Practitioner Medical Doctor 102449 08/21/2023
SYIN, DORA Supervising Prescribing Practitioner Medical Doctor 133560 09/15/2023
VENEGAS, CARLA Supervising Prescribing Practitioner Medical Doctor 122376 09/15/2023
WALDRON, NATHAN HUNTER Supervising Prescribing Practitioner Medical Doctor 154336 09/15/2023

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.


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.