License Verification

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AMANDA N PRINE

License Number: PA9106640

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9106640
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/26/2012
Address of Record
8475 NW 39TH AVE
UF HEALTH SPRINGHILL ED
GAINESVILLE, FL 32606
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
UF SHCC 2140 Stadium Rd
GAINESVILLE, FL 32611
Address
7405 S.W. ARCHER RD. UF HEALTH EMERGENCY Kanapaha
GAINESVILLE, FL 32608
Address
1515 SW ARCHER ROAD UNIVERSITY OF FLORIDA SHANDS
GAINESVILLE, FL 32608
Address
7540 W University Ave Florida Orthopedic Institute
GAINESVILLE, FL 32607
Address
2118 SW 20th Place Unit 102 FOI Ocala
OCALA, FL 34471
Name Relationship Profession License Effective Date
ABO, BENJAMIN N Supervising Prescribing Practitioner Osteopathic Physician 13845 10/12/2016
DALY, ROBERT JOSEPH Supervising Prescribing Practitioner Medical Doctor 123177 08/17/2016
FERNANDEZ, MELINDA WILLIAMS Supervising Prescribing Practitioner Medical Doctor 115750 08/17/2016
KONOPACK, SITHA Supervising Prescribing Practitioner Medical Doctor 118690 08/17/2016
KRICK, MICHAEL LAWRENCE Supervising Prescribing Practitioner Osteopathic Physician 11364 08/17/2016
LAAUWE, KAREN LYNNE Supervising Prescribing Practitioner Medical Doctor 86303 08/17/2016
SHANNON, MATTHEW B DR Supervising Prescribing Practitioner Medical Doctor 73606 08/17/2016

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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 12/23/2024



* 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.