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PATRICK TERRY MANGONON

License Number: ME77600

Data As Of 12/25/2024

Profession
Medical Doctor
License
ME77600
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
03/09/1999
Address of Record
305 Memorial Medical Parkway
Suite 300
DAYTONA BEACH, FL 32117
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
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
BOGOSLOV, YANA P Prescribing Physician Assistant Physician Assistant 9118074 11/7/2023
DEMUYNCK, KELLY ELIZABETH Prescribing Physician Assistant Physician Assistant 9112731 11/23/2020
DUFFY, JUSTIN STANFORD Prescribing Physician Assistant Physician Assistant 9108635 9/15/2023
FRANCIS, KELLIE ANNE Prescribing Physician Assistant Physician Assistant 9114617 1/28/2022
MILLER, SARAH THERESA Prescribing Physician Assistant Physician Assistant 9118231 4/8/2024
ROJAS, BRIAN Prescribing Physician Assistant Physician Assistant 9114754 11/3/2022
SULLIVAN, ANN NICOLE Prescribing Physician Assistant Physician Assistant 9113026 3/2/2020
SYDNEY, STEPHANIE Prescribing Physician Assistant Physician Assistant 9116262 4/3/2023
TERRY, JOHNNY B Prescribing Physician Assistant Physician Assistant 9106081 3/20/2023

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 12/25/2024



* 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.