License Verification

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JON PARKER BOETTGER

License Number: PA9105512

Data As Of 6/22/2024

Profession
Physician Assistant
License
PA9105512
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2010
Address of Record
Moffitt Cancer Center
12902 Magnolia Drive
TAMPA, FL 33612
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
ACTON, MATTHEW M D O Supervising Prescribing Practitioner Osteopathic Physician 10505 04/26/2018
AHMED, SALMAN Supervising Prescribing Practitioner Medical Doctor 104484 04/26/2018
ANAYA, DANIEL ALFREDO Supervising Prescribing Practitioner Medical Doctor 124095 01/31/2023
BROWN, MILTON FITZGERALD Supervising Prescribing Practitioner Medical Doctor 104944 04/26/2018
DAVILA, MIGUEL ANGEL Supervising Prescribing Practitioner Medical Doctor 132101 04/26/2018
EKKA, SHWETA Supervising Prescribing Practitioner Medical Doctor 101936 04/26/2018
FELDER, SETH Supervising Prescribing Practitioner Medical Doctor 132608 11/04/2022
HODUL, PAMELA JOY Supervising Prescribing Practitioner Medical Doctor 88180 02/01/2023
PATEL, MEHUL SUMAN Supervising Prescribing Practitioner Medical Doctor 127494 04/26/2018
SANCHEZ, JULIAN Supervising Prescribing Practitioner Medical Doctor 117577 11/01/2022
STEFANOU, AMALIA JOANNE Supervising Prescribing Practitioner Medical Doctor 157784 06/14/2023

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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 6/22/2024



* 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.