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FREDERICK LUCAS JENKINS

License Number: ME83245

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME83245
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/27/2001
Address of Record
MEMORIAL HOSPITAL/JACKSONVILLE
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3625 UNIVERSITY BLVD S. MEMORIAL HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32216
Address
11850 ATLANTIC BLVD MEMORIAL EMERGENCY CENTER ATLANTIC
JACKSONVILLE, FL 32225
Name Relationship Profession License Effective Date
KAPLAN, PETER EVAN Supervising Prescribing Practitioner Medical Doctor 65581 02/26/2021
KAPLAN, PETER EVAN Supervisor Medical Doctor 65581 02/26/2021

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Name Relationship Profession License Effective Date
BEDARD, CASEY LEIGH Prescribing Physician Assistant Physician Assistant 9105446 4/26/2018
BRUCE, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9109680 4/9/2018
COOK, NICHOLE Prescribing Physician Assistant Physician Assistant 9106681 3/1/2024
CRISSMAN, WILLIAM WARD Prescribing Physician Assistant Physician Assistant 9105322 4/19/2018
CRUZ, MEAGAN IRWIN Prescribing Physician Assistant Physician Assistant 9107334 4/11/2018
DODSON, PATRICK RUSSELL Prescribing Physician Assistant Physician Assistant 9110653 5/23/2018
ELLIOTT III, BILLY MERRILL Prescribing Physician Assistant Physician Assistant 9115266 12/28/2021
FEHR, LORI L Prescribing Physician Assistant Physician Assistant 9107477 5/17/2018
FORSTER, JOHN GEORGE III Prescribing Physician Assistant Medical Doctor 69993 6/27/2023
FORTNER, DENNIS LEROY III Prescribing Physician Assistant Physician Assistant 9105894 3/29/2018
FRANKLIN, CATHERINE DARLENE Prescribing Physician Assistant Physician Assistant 9106546 4/26/2018
FRIES, ALLISON MARIE Prescribing Physician Assistant Physician Assistant 9106610 4/9/2018
GOINS, DAVID SCOTT Prescribing Physician Assistant Physician Assistant 9102736 3/20/2018
GREENLEY, CHARLES TRAVIS Prescribing Physician Assistant Physician Assistant 9105062 4/2/2018
HINSON, JACOB CODY Prescribing Physician Assistant Physician Assistant 9108842 9/19/2018
HINTON, JENNIFER MARIE Prescribing Physician Assistant Physician Assistant 9103166 5/9/2018
HOFFMAN, SUSAN Prescribing Physician Assistant Physician Assistant 9106725 4/13/2018
HULTZ, CINTIA HENRIQUES Prescribing Physician Assistant Physician Assistant 9109327 8/20/2021
JOHNSON, JENNIFER BURKE Prescribing Physician Assistant Medical Doctor 115159 3/10/2021
JOHNSON, JENNIFER BURKE Subordinate Medical Doctor 115159 3/10/2021
JURICH, ANGEL CHRISTINE Prescribing Physician Assistant Physician Assistant 9108136 6/23/2016
LUKACSA, THOMAS DAVID Prescribing Physician Assistant Physician Assistant 9104358 4/19/2018
MARTIN, AMBER REBEKAH Prescribing Physician Assistant Physician Assistant 9103989 3/27/2018
MARTIN, DEVIN REECE Prescribing Physician Assistant Physician Assistant 9109422 2/13/2018
MCCAFFREY, JENNIFER Prescribing Physician Assistant Physician Assistant 9109282 4/26/2018
MCCAFFREY, KEVIN PATRICK Prescribing Physician Assistant Physician Assistant 9105009 7/16/2023
MCINTOSH, MARK STEPHEN Subordinate Medical Doctor 89160 3/1/2018
MCNEW, FREDERICK JASON Prescribing Physician Assistant Physician Assistant 9102191 4/3/2018
MILTON, SANDRA CHRISTINE Prescribing Physician Assistant Physician Assistant 9116108 1/1/2023
MOFFATT, MEGAN H Prescribing Physician Assistant Physician Assistant 9106786 4/12/2018
MORGAN, DANIEL MUZON Prescribing Physician Assistant Physician Assistant 9107682 3/30/2018
MORIARTY, MALERIE ROSE Prescribing Physician Assistant Physician Assistant 9105173 3/30/2018
NEW, ANNA RUTH-MILDRED Prescribing Physician Assistant Physician Assistant 9110750 4/12/2018
NICOLOSO, FRANCESCA MARINA Prescribing Physician Assistant Physician Assistant 9107277 4/26/2018
PANNIZZO, ROSANNE Prescribing Physician Assistant Physician Assistant 9114515 9/23/2021
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 12/10/2018
ROBINSON, CINDY LIZ Prescribing Physician Assistant Physician Assistant 9104267 3/20/2018
SASSO, LEONARD GERARD Prescribing Physician Assistant Physician Assistant 9105451 5/15/2018
SATCHELL, TIFFANY MELISSA Prescribing Physician Assistant Physician Assistant 9109448 8/24/2021
SMITH, CAROLINE OLGA Prescribing Physician Assistant Physician Assistant 9106283 3/30/2018
SPOTTS, WHITNEY AHERN Prescribing Physician Assistant Physician Assistant 9107278 7/9/2018
STORK, JERRY LEE JR Prescribing Physician Assistant Physician Assistant 9103513 12/20/2018
UZELAC, KERSTIN A Prescribing Physician Assistant Physician Assistant 9106845 5/11/2018
VASUDEVA, SANJAY Prescribing Physician Assistant Medical Doctor 113428 7/10/2023
WARD, MATTHEW MORGAN Prescribing Physician Assistant Physician Assistant 9108249 4/13/2018
WARD, WILLIAM ALBERT Prescribing Physician Assistant Physician Assistant 9108936 4/19/2018
WATERS, DOUGLAS LEE Prescribing Physician Assistant Physician Assistant 9106355 3/29/2018
WEAVER, ADAM CHRISTOPHER Prescribing Physician Assistant Physician Assistant 9103017 4/9/2018

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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.