License Verification

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NICOLE FRANCES TAFT

License Number: PA9104723

Data As Of 10/7/2025

Profession
Physician Assistant
License
PA9104723
License Status
Clear/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/26/2008
Address of Record
4725 N. Federal Highway
Holy Cross Hospital
FORT LAUDERDALE, FL 33308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
325 5th avenue surfside urgent care Suite 204
INDIATLANTIC, FL 33071
Address
Baptist Health emergency care 10125 Glades Road
BOCA RATON, FL 33498
Name Relationship Profession License Effective Date
FLETCHER, STEFFEN HASBROUCK Supervising Dispensing Practitioner Medical Doctor 100208 01/14/2025
GERAKOPOULOS, KYLE ALEXANDRA Supervising Prescribing Practitioner Medical Doctor 130785 01/14/2025
GOLDSTEIN, EVAN DAVID M D Supervising Dispensing Practitioner Medical Doctor 64033 01/14/2025
PARMAR, JENIEL Supervising Dispensing Practitioner Medical Doctor 130878 01/14/2025
ZACHARY, CORINNE M D Supervising Dispensing Practitioner Medical Doctor 77674 01/14/2025
ZACHARY, CORINNE M D Supervising Prescribing Practitioner Medical Doctor 77674 01/14/2025

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/7/2025



* 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.