License Verification
KIMBERLY MATTSON WIERINGA
License Number: PA9105525
Data As Of 12/22/2024
- Address
- 9580 Applecross Rd #106
- JACKSONVILLE, FL 32222
- Address
- 4160 Southside Blvd #10
- JACKSONVILLE, FL 32216
- Address
- 30 Epic Blvd #100 Avecina Medical
- ST AUGUSTINE, FL 32086
- Address
- 105 Badger Park Dr Suite 8
- SAINT JOHNS, FL 32259
- Address
- 30 Epic Blvd Ste 100
- ST AUGUSTINE, FL 32086
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
COWART, JENNIFER BROOKE MD | Supervising Prescribing Practitioner | Medical Doctor | 126831 | 07/01/2020 |
COWDELL, JED COLT | Supervising Prescribing Practitioner | Medical Doctor | 125749 | 06/30/2020 |
DAWSON, NANCY LEE MD | Supervising Prescribing Practitioner | Medical Doctor | 83319 | 06/29/2020 |
DUMITRASCU, ADRIAN GEORGE | Supervising Prescribing Practitioner | Medical Doctor | 106243 | 06/30/2020 |
EDWARDS, ERIC | Supervising Prescribing Practitioner | Medical Doctor | 137916 | 06/29/2020 |
GARLAND, JEFFREY LEWIS | Supervising Prescribing Practitioner | Medical Doctor | 82064 | 06/27/2020 |
GNANAPANDITHAN, KARTHIK | Supervising Prescribing Practitioner | Medical Doctor | 143050 | 07/07/2020 |
HERRIGEL, DANA JOY | Supervising Prescribing Practitioner | Medical Doctor | 128085 | 07/20/2020 |
HILL, EBONE DANIELLE | Supervising Prescribing Practitioner | Medical Doctor | 107304 | 06/23/2020 |
HUSSAIN, MOHAMMAD TAHIR | Supervising Prescribing Practitioner | Medical Doctor | 137887 | 06/23/2020 |
JOYCE, NICOLE ELIZABETH | Supervising Prescribing Practitioner | Medical Doctor | 128255 | 07/07/2020 |
MANIACI, MICHAEL JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 90754 | 06/26/2020 |
MATCHA, GAUTAM VIVEK | Supervising Prescribing Practitioner | Medical Doctor | 118355 | 06/23/2020 |
MCKINNEY, MARGARET EDGINGTON | Supervising Prescribing Practitioner | Medical Doctor | 121734 | 06/23/2020 |
MODEL, DMITRIY BORISOVICH | Supervising Prescribing Practitioner | Medical Doctor | 88320 | 05/31/2017 |
MORAN, KAITLIN MCCURDY | Supervising Prescribing Practitioner | Medical Doctor | 123359 | 07/20/2020 |
PAGAN, RICARDO J | Supervising Prescribing Practitioner | Medical Doctor | 114300 | 06/23/2020 |
PRITCHARD, INGRID JULIETTE | Supervising Prescribing Practitioner | Medical Doctor | 90557 | 06/23/2020 |
ROY, ARCHANA | Supervising Prescribing Practitioner | Medical Doctor | 82081 | 06/23/2020 |
SAFER, LESLIE F | Supervising Prescribing Practitioner | Medical Doctor | 86800 | 06/29/2020 |
SEIM, LYNSEY ANN | Supervising Prescribing Practitioner | Medical Doctor | 102457 | 06/23/2020 |
SMERINA, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 132604 | 06/26/2020 |
SOLEYMANI, SAMAN | Supervising Prescribing Practitioner | Medical Doctor | 88018 | 05/31/2017 |
TRAUTMAN, CHRISTOPHER LEE | Supervising Prescribing Practitioner | Medical Doctor | 124952 | 07/07/2020 |
VIJAPURA, PRIYANKA | Supervising Prescribing Practitioner | Medical Doctor | 130078 | 06/27/2020 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
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.
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.