License Verification

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MATTHEW NELSON PEEBLES

License Number: ME77690

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME77690
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
03/25/1999
Address of Record
10080 SW INNOVATION WAY
SUITE 201
PORT SAINT LUCIE, FL 34987
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10080 SW INNOVATION WAY, SUITE 101
PORT SAINT LUCIE, FL 34987
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ALPHONSE, OSWALD JUNIOR Prescribing Physician Assistant Physician Assistant 9104344 12/9/2010
BIEN, JEFFREY DANIEL Prescribing Physician Assistant Physician Assistant 9106397 6/20/2019
DIAZ, SAMANTHA Prescribing Physician Assistant Physician Assistant 9116998 4/26/2023
DICARLO, MARK KENNETH Prescribing Physician Assistant Physician Assistant 3676 5/6/2024
GATES, SYLVIA MARIE Prescribing Physician Assistant Physician Assistant 9105460 2/8/2019
KRIKLAVA, KELLY Prescribing Physician Assistant Physician Assistant 9111155 7/17/2019
MILLER, ALLYSON Prescribing Physician Assistant Physician Assistant 9112820 5/6/2024
ROYALL, CHRISTOPHER ANDREW Prescribing Physician Assistant Physician Assistant 9110149 2/13/2020
WASDIN, JUSTIN DAVID Prescribing Physician Assistant Physician Assistant 9110163 6/26/2017

Click on the License Number to view License Details for that Practitioner

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.