License Verification

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MATTHEW THOMAS DORMAN

License Number: ME76456

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME76456
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
08/07/1998
Address of Record
9 PINE CONE DR
SUITE 102
PALM COAST, FL 32137
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BRYANT, LAURIE SUSAN Prescribing Physician Assistant Osteopathic Physician 13282 4/8/2021
BRYANT, LAURIE SUSAN Subordinate Osteopathic Physician 13282 4/5/2021
DEJESUS, PABLO MANUEL Prescribing Physician Assistant Physician Assistant 9114008 9/4/2023
DYER, JAMES MITCHELL Prescribing Physician Assistant Physician Assistant 9108928 8/21/2018
VERNEUIL, DEVON MARIE Prescribing Physician Assistant Physician Assistant 9115558 10/18/2023

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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.