License Verification

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ANDREW STUART KINNEY

License Number: PA9106088

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9106088
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/21/2011
Address of Record
2016 STATE ROAD 60
VALRICO, FL 33594
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
4821 U.S. Highway 19
NEW PORT RICHEY, FL 34652
Address
13670 Walsingham Road
LARGO, FL 33774
Address
36245 U.S. Highway 27
HAINES CITY, FL 33844
Address
2331 Fourth St. N.
SAINT PETERSBURG, FL 33704
Address
711 S. Belcher Road
CLEARWATER, FL 33761
Address
11921 N. Dale Mabry Highway
TAMPA, FL 33618
Address
1599 66th St. N.
SAINT PETERSBURG, FL 33710
Address
6455 Gulf Blvd.
ST PETE BEACH, FL 33706
Address
36245 U.S. Highway 27
HAINES CITY, FL 33844
Address
3351 N. McMullen Booth Road
CLEARWATER, FL 33761
Address
1155 S. Dale Mabry Highway
TAMPA, FL 33629
Address
6909 W. Waters Ave.
TAMPA, FL 33634
Address
17512 Dona Michelle Drive
TAMPA, FL 33647
Address
10125 Big Bend Rd
RIVERVIEW, FL 33578
Address
400 First St. N.
WINTER HAVEN, FL 33881
Address
2442 Bloomingdale Ave.
VALRICO, FL 33596
Name Relationship Profession License Effective Date
WALDREP, NATHAN KEITH Supervising Dispensing Practitioner Medical Doctor 58834 01/10/2017
WALDREP, NATHAN KEITH Supervising Prescribing Practitioner Medical Doctor 58834 01/04/2017

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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 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.