License Verification

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MARK GEORGE STAVROS

License Number: ME71124

Data As Of 9/20/2024

Profession
Medical Doctor
License
ME71124
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
07/30/1996
Address of Record
8383 N Davis Hwy
PENSACOLA, FL 32514
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
375 Muskogee Rd
CANTONMENT, FL 32533
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ANDERSON, NATE Prescribing Physician Assistant Physician Assistant 9115396 1/10/2022
BAUTISTA, RICHARD FRANKLIN Prescribing Physician Assistant Physician Assistant 9107034 10/1/2019
BLAKE, STEVEN MITCHELL M D Prescribing Physician Assistant Medical Doctor 58519 10/22/2021
COWLES, DANA NATHANIEL Prescribing Physician Assistant Osteopathic Physician 9752 10/22/2021
DOKIANOS, NICHOLAS JOSEPH Prescribing Physician Assistant Physician Assistant 9111676 4/6/2020
FLORIDA WEST HOSPITAL, HCA Service Provider EMS Service Provider BLS 9008 10/20/2023
HULTZ, CINTIA HENRIQUES Prescribing Physician Assistant Physician Assistant 9109327 10/4/2021
JOHNSON, JENNIFER PORTELL Prescribing Physician Assistant Physician Assistant 9114783 12/20/2021
JOSEPH, RODELINE Prescribing Physician Assistant Physician Assistant 9109849 9/17/2021
LOCKLEAR, ALEXANDRA MACKINLAY Prescribing Physician Assistant Physician Assistant 9103837 12/3/2018
LUFT, SAVANNAH ASARISI Prescribing Physician Assistant Physician Assistant 9116755 12/7/2023
MARTZ, MONICA KATELYNN Prescribing Physician Assistant Physician Assistant 9117698 11/2/2023
PATE, DAVID MATTHEW Prescribing Physician Assistant Physician Assistant 9118125 11/7/2023
SATCHELL, TIFFANY MELISSA Prescribing Physician Assistant Physician Assistant 9109448 8/25/2021
STORK, JERRY LEE JR Prescribing Physician Assistant Physician Assistant 9103513 9/26/2018
WEAVER, ADAM CHRISTOPHER Prescribing Physician Assistant Physician Assistant 9103017 10/21/2021
WELLS, ERIN LYN Prescribing Physician Assistant Physician Assistant 9113347 9/25/2020

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 9/20/2024



* 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.