License Verification

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DAVID MARK HARBOUR

License Number: OS8124

Data As Of 12/22/2024

Profession
Osteopathic Physician
License
OS8124
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
04/07/2000
Address of Record
443 WEST COUNTY ROAD 419
SUITE 1041
OVIEDO, FL 32766
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
15532 West Colonial Dr Suite B
WINTER GARDEN, FL 34787
Address
4250 Alafaya Trail Suite 188
OVIEDO, FL 32765
Address
110 NORTH ORLANDO AVE SUITE 14
MAITLAND, FL 32751
Name Relationship Profession License Effective Date
PELLY, AMANDA JANE Supervisor Medical Doctor 125040 01/01/2021

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Name Relationship Profession License Effective Date
BLUSH MEDSPA & LASER Electrolysis Facilities Electrolysis Facility 1343 11/22/2021
COATS, HAL BROOKS Prescribing Physician Assistant Physician Assistant 9103900 7/1/2021
GRAHAM, KELLY ANN Prescribing Physician Assistant Physician Assistant 9112573 7/1/2021
H & H MEDICAL SERVICE PLC HCCE Health Care Clinic Establishment Permit 171 12/22/2008
HAMILTON, CARLTON CARMICHAEL II Subordinate Medical Doctor 87840 3/1/2020
HULTZ, CINTIA HENRIQUES Prescribing Physician Assistant Physician Assistant 9109327 11/11/2022
JOHNSON, IAN JAMES Prescribing Physician Assistant Physician Assistant 9110730 7/1/2021
LEBLANC, JILL ELIZABETH Prescribing Physician Assistant Physician Assistant 9114533 7/1/2021
LENTZ, JUSTIN Prescribing Physician Assistant Physician Assistant 9117333 5/8/2024
MEJIA, MAURICIO ANDRES Prescribing Physician Assistant Physician Assistant 9109507 11/27/2018
MILLER, LISA ANN Prescribing Physician Assistant Physician Assistant 9102983 7/1/2021
MITCHELL, CRAIG ROBERT MD Prescribing Physician Assistant Medical Doctor 102920 7/1/2021
MITCHELL, CRAIG ROBERT MD Subordinate Medical Doctor 102920 2/26/2021
NOTMAN, BRITTANY RENEE Prescribing Physician Assistant Physician Assistant 9107171 7/1/2021
POLSKY, MARK DAVID Prescribing Physician Assistant Osteopathic Physician 6275 7/1/2021
THOMPSON, SARA Prescribing Physician Assistant Physician Assistant 9108278 7/1/2021
VOGT, JASON M Prescribing Physician Assistant Physician Assistant 9107868 7/1/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/22/2024



* 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.