License Verification

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REAGAN HYDER TAYLOR

License Number: PA9104826

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9104826
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/07/2008
Address of Record
2415 N. ORANGE AVE, SUITE 400
CENTER FOR SPECIALIZED SURGERY
FLORIDA HOSPITAL
ORLANDO, FL 32804
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BLOOM, SCOTT WILLIAM Supervising Prescribing Practitioner Medical Doctor 125267 03/18/2016
DE LA FUENTE, SEBASTIAN G Supervising Prescribing Practitioner Medical Doctor 106946 12/04/2015
EUBANKS, WILLIAM STEPHEN JR Supervising Prescribing Practitioner Medical Doctor 108617 12/04/2015
GOLDBERG, JOSHUA MICAH Supervising Prescribing Practitioner Medical Doctor 133602 01/31/2019
HARMON, RHONDA LEIGH Supervising Prescribing Practitioner Medical Doctor 97912 12/04/2015
PORTOGHESE, JOSEPH D Supervising Prescribing Practitioner Medical Doctor 43817 12/04/2015
SIMMONDS, ALRIC VALDEMAR JR Supervising Prescribing Practitioner Medical Doctor 96253 12/04/2015

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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 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.


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