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AMANDA NICOLE CONNOR

License Number: PA9106489

Data As Of 6/7/2025

Profession
Physician Assistant
License
PA9106489
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/21/2012
Address of Record
601 5TH STREET SOUTH
OUTPATIENT CARE CENTER, STE 306
SAINT PETERSBURG, FL 33701
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10060 BALLAYE RUN DRIVE PEDIATRIC SURGERY CENTER-LLC
TAMPA, FL 33619
Address
701 6TH STREET S BAYFRONT MEDICAL CENTER
SAINT PETERSBURG, FL 33701
Address
5881 RAND BLVD SPECIALTY CARE SARASOTA
SARASOTA, FL 34238
Address
885 PARSONS AVENUE S. SPECIALTY CARE BRANDON
BRANDON, FL 33511
Address
601 5TH STREET S. #306 ST OUT PATIENT CARE CENTER
SAINT PETERSBURG, FL 33701
Address
14111 STATE ROAD 54 PEDIATRIC SURGERY CENTERS-ODESSA-LLC
ODESSA, FL 33556
Name Relationship Profession License Effective Date
CHANDLER, NICOLE M Supervising Prescribing Practitioner Medical Doctor 102053 03/15/2018
CHANG, HENRY LEONARD Supervising Prescribing Practitioner Medical Doctor 125329 03/15/2018
COLOMBANI, PAUL MICHAEL Supervising Prescribing Practitioner Medical Doctor 111523 03/15/2018
DANIELSON, PAUL DAVID Supervising Prescribing Practitioner Medical Doctor 102019 03/15/2018
GONZALEZ, RAQUEL Supervising Prescribing Practitioner Medical Doctor 133155 03/15/2018
RIDEOUT, DREW ALAN Supervising Prescribing Practitioner Medical Doctor 99466 03/15/2018

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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 6/7/2025



* 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.