License Verification

Printer Friendly Version

GREG DWIGHT HOLLIS

License Number: PA9106026

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9106026
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/16/2011
Address of Record
12802 Tampa Oaks Blvd
TAMPA, FL 33637
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
7171 N. Dale Mabry Highway Advent Health Carrollwood
TAMPA, FL 33617
Address
3100 E. Fletcher Avenue Advent Health Tampa
TAMPA, FL 33613
Address
1210 US HW 27 North
LAKE PLACID, FL 33852
Address
16625 State Road 54
LUTZ, FL 33558
Address
735 S 5th Ave
WAUCHULA, FL 33873
Address
4200 Sun'n Lake Blvd. Florida Hospital Heartland
SEBRING, FL 33872
Address
2600 BRUCE B DOWNS BLVD. FLORIDA HOSPITAL WESLEY CHAPEL
WESLEY CHAPEL, FL 33544
Name Relationship Profession License Effective Date
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
BARNES, RICHARD R JR Supervising Prescribing Practitioner Medical Doctor 69285 11/01/2023
BISHOP, TRACY MARIE Supervising Prescribing Practitioner Osteopathic Physician 16617 10/15/2023
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 11/01/2023
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 11/01/2023
CHRISTIANO, DANIELLE MARIE Supervising Prescribing Practitioner Medical Doctor 98327 03/17/2016
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/15/2023
DESAI, AJAY Supervising Prescribing Practitioner Osteopathic Physician 12568 03/17/2016
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 09/15/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 11/28/2022
DUBEY, JESSE VINCENT Supervising Prescribing Practitioner Osteopathic Physician 13099 08/04/2016
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 11/01/2023
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 01/19/2023
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 11/01/2023
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 11/01/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
HUMMEL, LAURA Supervising Prescribing Practitioner Medical Doctor 127881 08/04/2016
KOONKITTI, PARICHART CANDY Supervising Prescribing Practitioner Medical Doctor 125284 03/17/2016
LAMBIE, NATALIE DAWN Supervising Prescribing Practitioner Osteopathic Physician 11732 09/08/2022
LIVOTI, REINALDO Supervising Prescribing Practitioner Physician Assistant 9118153 11/01/2023
LUDWIG, RICHARD EUGENE Supervising Prescribing Practitioner Physician Assistant 9102456 11/01/2023
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 12/01/2023
NESSELROADE, RYAN DAVID Supervising Prescribing Practitioner Medical Doctor 106189 03/17/2016
OSBORNE, AARON RYAN Supervising Prescribing Practitioner Medical Doctor 108215 03/11/2016
PARKS, THOMAS EDWARD Supervising Prescribing Practitioner Physician Assistant 9105210 08/26/2022
PATEL, TEJAS Supervising Prescribing Practitioner Osteopathic Physician 13790 08/04/2016
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/23/2022
ROCKLER, KENDALL MICHELLE Supervising Prescribing Practitioner Medical Doctor 114880 12/01/2023
SCHWARTZ, MATTHEW ABRAM Supervising Prescribing Practitioner Medical Doctor 135491 01/10/2023
SCOTT, DAVID Supervising Prescribing Practitioner Medical Doctor 143679 01/10/2023
SECREST, JULIE K Supervising Prescribing Practitioner Medical Doctor 110718 03/17/2016
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 01/10/2023
SHAH, MANASI SAMIR Supervising Prescribing Practitioner Medical Doctor 127451 08/04/2016
SHAH, SHIRALI Supervising Prescribing Practitioner Medical Doctor 134469 01/10/2023
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 01/10/2023
SMITH, MATTHEW WAYNE Supervising Prescribing Practitioner Osteopathic Physician 16446 02/14/2023
STAFF, KRISTINE E Supervising Prescribing Practitioner Medical Doctor 117924 01/10/2023
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 11/01/2022
THOMAS, SHERWIN ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 149747 01/01/2023
TIMMEL, MARK Supervising Prescribing Practitioner Medical Doctor 151869 01/01/2023
TIRHEIMER, WENZEL III Supervising Prescribing Practitioner Medical Doctor 83294 01/19/2023
UMANSKY, AARON JOSEPH Supervising Prescribing Practitioner Medical Doctor 151420 01/10/2023
VIBHAKAR, ARJUN Supervising Prescribing Practitioner Medical Doctor 128122 08/04/2016

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.