License Verification

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AMBER REBEKAH MARTIN

License Number: PA9103989

Data As Of 8/17/2026

Profession
Physician Assistant
License
PA9103989
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
10/23/2006
Address of Record
2001 KINGSLEY AVE.
ORANGE PARK MEDICAL CENTER
ORANGE PARK, FL 32073
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6477 103RD ST.
JACKSONVILLE, FL 32210
Address
5773 NORMANDY BLVD. NORMANDY PARK EMERGENCY ROOM
JACKSONVILLE, FL 32205
Address
3625 UNIVERSITY BLVD. S.
JACKSONVILLE, FL 32216
Name Relationship Profession License Effective Date
ALEMAN-BERMUDEZ, JAIME J Supervising Prescribing Practitioner Medical Doctor 49940 03/27/2018
ALONSO, LEONARDO LAZARO Supervising Prescribing Practitioner Osteopathic Physician 6584 03/27/2018
APPEL, KENNETH Supervising Prescribing Practitioner Osteopathic Physician 23278 07/07/2026
ATTLESEY, MARK GRAHAM Supervising Prescribing Practitioner Medical Doctor 71653 03/27/2018
BAKOR, NADIA Supervising Prescribing Practitioner Medical Doctor 131303 03/27/2018
BHULA, JAY RAMESH Supervising Prescribing Practitioner Medical Doctor 177074 02/24/2026
BLAKE, STEVEN MITCHELL M D Supervising Prescribing Practitioner Medical Doctor 58519 03/27/2018
BORRERO-MENDOZA, ANDRES ELIAS MD Supervising Prescribing Practitioner Medical Doctor 140971 06/25/2025
BRACE, RONALD JOHN Supervising Prescribing Practitioner Medical Doctor 120282 03/27/2018
CHAUDHRY, USMAN SHAHID Supervising Prescribing Practitioner Medical Doctor 179733 07/09/2026
CHEANVECHAI, DAYCHA Supervising Prescribing Practitioner Medical Doctor 76415 03/27/2018
CORTERO, HANNAH Supervising Prescribing Practitioner Osteopathic Physician 23560 07/07/2026
DAVIS, DAVID RICHARD Supervising Prescribing Practitioner Medical Doctor 96442 03/27/2018
DEJESUS, OTILIA Supervising Prescribing Practitioner Medical Doctor 105497 04/24/2019
EGBEBIKE, EMEKA ALBERT Supervising Prescribing Practitioner Medical Doctor 144350 06/18/2026
ELISON, BORIS Supervising Prescribing Practitioner Medical Doctor 128384 06/16/2026
EUWEMA, MICHAEL SCOTT Supervising Prescribing Practitioner Medical Doctor 91648 03/27/2018
FELIBERTI RAMOS, KIMBERLY ANN Supervising Prescribing Practitioner Medical Doctor 149816 06/17/2026
FERNANDEZ OLIVERO, GERARDO ANDRES Supervising Prescribing Practitioner Medical Doctor 139063 06/16/2026
FORSTER, JOHN GEORGE III Supervising Prescribing Practitioner Medical Doctor 69993 03/27/2018
FRANKLIN, JAMES DAVID Supervising Prescribing Practitioner Medical Doctor 133537 06/16/2026
FRIES, LUNDYN MARIE Supervising Prescribing Practitioner Osteopathic Physician 20424 07/21/2026
FRISCH, MARK SCOTT Supervising Prescribing Practitioner Medical Doctor 96093 06/17/2026
FROST, PATRICK JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 21470 06/17/2026
FRYE, KENNETH LEE JR Supervising Prescribing Practitioner Osteopathic Physician 15405 06/19/2026
GIL, MIGUEL Supervising Prescribing Practitioner Medical Doctor 163066 06/18/2026
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 06/28/2023
GUZMAN MARTINEZ, SAMUEL Supervising Prescribing Practitioner Medical Doctor 89143 07/20/2026
GYARMATHY, RAYMOND HOWARD Supervising Prescribing Practitioner Medical Doctor 53513 03/27/2018
HOIDA, JEFFREY SCOTT MD Supervising Prescribing Practitioner Medical Doctor 136257 04/24/2019
HOIDA, SHIELDS DUSS Supervising Prescribing Practitioner Medical Doctor 125526 04/24/2019
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 03/27/2018
KING, KENNETH Supervising Prescribing Practitioner Osteopathic Physician 8648 03/27/2018
KOURY, RONALD FORREST D O Supervising Prescribing Practitioner Osteopathic Physician 8090 03/27/2018
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 09/20/2018
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 03/27/2018
MOORE, ROSS AARON Supervising Prescribing Practitioner Medical Doctor 136093 06/18/2025
OLIVER, RADAMES ALBERTO Supervising Prescribing Practitioner Medical Doctor 67906 03/27/2018
PACHECO PARES, LUIS Supervising Prescribing Practitioner Medical Doctor 167514 07/21/2025
PAPAVASILIOU, JOHN JOSEPH Supervising Prescribing Practitioner Medical Doctor 66371 03/27/2018
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 03/27/2018
REYES SANTOS, ALEX FRANCISCO Supervising Prescribing Practitioner Medical Doctor 132290 10/14/2025
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 03/27/2018
THOMAS, ROBERT LOUIS Supervising Prescribing Practitioner Osteopathic Physician 8592 03/27/2018
WARRINGTON, STEVEN Supervising Prescribing Practitioner Medical Doctor 131907 03/27/2018
WOOD, STEPHANIE KAREN Supervising Prescribing Practitioner Medical Doctor 35012 03/27/2018
ZERNIAL, CHRISTOPHER B Supervising Prescribing Practitioner Medical Doctor 131593 03/27/2018

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No Continuing Education Hours Received from Approved Providers As Of 8/17/2026



* 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.


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