License Verification

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MICHELLE MARIE LEWIS

License Number: PA9106842

Data As Of 5/20/2024

Profession
Physician Assistant
License
PA9106842
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/18/2012
Address of Record
96 Willard St STE 306
COCOA, FL 32922
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALVAREZ, COREY Supervising Prescribing Practitioner Medical Doctor 131625 10/09/2017
BOGGS, BRIAN ROBERT Supervising Prescribing Practitioner Medical Doctor 94032 11/15/2018
CHAO, MAURICE JAY Supervising Prescribing Practitioner Osteopathic Physician 8629 11/15/2018
CLODFELTER, MANLEY C JR Supervising Prescribing Practitioner Medical Doctor 71159 11/15/2018
LEE, LEEANNE MELANNIE MARTIN MD Supervising Prescribing Practitioner Medical Doctor 79254 11/15/2018
MILEY, STEPHEN MICHAEL Supervising Prescribing Practitioner Medical Doctor 34421 11/15/2018
RAMAGE, DARRON TRAVIS Supervising Prescribing Practitioner Medical Doctor 115024 08/26/2019
ROTOLO, ALYSSA BIXBY Supervising Prescribing Practitioner Medical Doctor 127035 11/15/2018
STOJANOVSKI, MIHAIL METODIJA Supervising Prescribing Practitioner Medical Doctor 130869 10/09/2017

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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 5/20/2024



* 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.