License Verification

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KRISTEN LEIGH DIXON

License Number: PA9102914

Data As Of 12/24/2024

Profession
Physician Assistant
License
PA9102914
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/16/2004
Address of Record
209 Ponte Vedra Park Dr
PONTE VEDRA BEACH, FL 32081
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
11512 lake mead ave #513
JACKSONVILLE, FL 32256
Address
5472 1st coast highway #3
FERNANDINA BEACH, FL 32034
Address
480 town plaza ave #150
PONTE VEDRA, FL 32081
Address
304 Ashourian ave #107
ST AUGUSTINE, FL 32092
Name Relationship Profession License Effective Date
BURK, ROBERT WILLIAM III Supervising Dispensing Practitioner Medical Doctor 57422 05/07/2024
STERNBERG, EREZ GABRIEL Supervising Prescribing Practitioner Medical Doctor 88836 07/17/2023

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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 12/25/2024



* 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.