License Verification

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KIMBERLY ANN BRAZLEY

License Number: PA9102785

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9102785
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/07/2004
Address of Record
1550 BARKLEY CIRCLE
FLORIDA HEART ASSOCIATES
FORT MYERS, FL 33907
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1002 Country Club Blvd
CAPE CORAL, FL 33990
Address
1002 COUNTRY CLUB BLVD. FLORIDA HEART ASSOCIATES, PL
CAPE CORAL, FL 33990
Name Relationship Profession License Effective Date
ESCARCEGA ALARCON, RICARDO ORLANDO Supervising Prescribing Practitioner Medical Doctor 123317 11/19/2019
FONTAINE, JOHN Supervising Prescribing Practitioner Medical Doctor 139539 12/21/2023

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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 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.