License Verification

Printer Friendly Version

TIMOTHY JAMES DAVIS

License Number: PA9104027

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9104027
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/04/2006
Address of Record
6019 SW Longspur Ln
PALM CITY, FL 34990
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
699 N.W. AIROSO BLVD. Onyx Behavioral Health
PORT SAINT LUCIE, FL 34983
Name Relationship Profession License Effective Date
BISHOP, JEFFREY M DO Supervising Prescribing Practitioner Osteopathic Physician 5102 03/04/2019
GENCHI, VICTOR JOSEPH MD Supervising Prescribing Practitioner Medical Doctor 57874 08/18/2017

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.