License Verification

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BRIAN DANIEL TARDIF

License Number: PA9106048

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9106048
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2011
Address of Record
2627 RIVERSIDE AVE
SUITE 300
JACKSONVILLE, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10475 Centurion Pkwy Ste. 220 Heekin Orthopedics Center One
JACKSONVILLE, FL 32256
Address
2300 Park Ave Ste. 203 Heekin Orthopedic Specialists
ORANGE PARK, FL 32073
Address
232 PONTE VEDRA PARK DR. HEEKIN ORTHOPEDIC SPECIALIST
PONTE VEDRA BEACH, FL 32082
Address
1658 ST. VINCENT'S WAY, HEEKIN ORTHOPEDIC SPECIALIST
MIDDLEBURG, FL 32068
Address
15255 MAX LEGGET PKWY 5TH SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
JACKSONVILLE, FL 32218
Name Relationship Profession License Effective Date
DESHMUKH, RAHUL VINOD Supervising Dispensing Practitioner Medical Doctor 90643 07/13/2022
DESHMUKH, RAHUL VINOD Supervising Prescribing Practitioner Medical Doctor 90643 06/30/2016
MURPHY, KEVIN PAUL Supervising Prescribing Practitioner Medical Doctor 65834 06/30/2016

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Name Relationship Profession License Effective Date
ZABLAN, GABRIELLE Prescribing Physician Assistant Physician Assistant 9114639 7/15/2021

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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.


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.