License Verification

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STEPHANIE CIOFFI WILDER

License Number: PA9105040

Data As Of 10/18/2021

Profession
Physician Assistant
License
PA9105040
License Status
CLEAR/ACTIVE
Qualifications
Prescribing
License Expiration Date
1/31/2022
License Original Issue Date
06/24/2009
Address of Record
1689 EAGLE HARBOR PARKWAY EAST
SUITE A
Gatien and Associates,
FLEMING ISLAND, FL 32003
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
HARRIS, GENE ASHLEY DO Supervising Prescribing Practitioner Osteopathic Physician 6100 08/20/2021

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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 10/18/2021



* 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.