License Verification

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JENNIFER LYNN MOORE

License Number: PA9106682

Data As Of 10/7/2025

Profession
Physician Assistant
License
PA9106682
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/18/2012
Address of Record
34621 US HWY 19 North
PALM HARBOR, FL 34684
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2404 US 19
HOLIDAY, FL 34691
Address
13256 FL 54
ODESSA, FL 33556
Address
8849 SR 52
HUDSON, FL 34667
Address
26812 US 19
CLEARWATER, FL 33761
Address
2420 Gulf to Bay Blvd Suite #5
CLEARWATER, FL 33761
Address
3030 4th street North
SAINT PETERSBURG, FL 33704
Address
12105 W Linebaugh Ave #207
TAMPA, FL 33626
Name Relationship Profession License Effective Date
FROMMANN, NICOLE Supervising Dispensing Practitioner Medical Doctor 81429 03/04/2019
FROMMANN, NICOLE Supervising Prescribing Practitioner Medical Doctor 81429 03/01/2019
MCARTHUR, LUCAS JAMES Supervising Prescribing Practitioner Medical Doctor 126627 04/24/2025
NANDA, PAUL KALRA Supervising Dispensing Practitioner Medical Doctor 117861 03/04/2019
NANDA, PAUL KALRA Supervising Prescribing Practitioner Medical Doctor 117861 03/01/2019

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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 10/7/2025



* 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.