License Verification

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KENNETH A POWELL

License Number: OS10548

Data As Of 12/23/2024

Profession
Osteopathic Physician
License
OS10548
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
12/03/2008
Address of Record
1564 KINGSLEY AVE
ORANGE PARK, FL 32073
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
801 N. Orange Ave. Suite 530
ORLANDO, FL 32801
Address
8262 Point Meadows Dr Ste 202
JACKSONVILLE, FL 32256
Address
404 NW Hall of Fame Dr
LAKE CITY, FL 32055
Address
8262 Point Meadows Dr Ste 201
JACKSONVILLE, FL 32256
Address
2700 Riverside Avenue Suite 2
JACKSONVILLE, FL 32205
Address
1821 Blanding Blvd
MIDDLEBURG, FL 32068
Address
280 Dundas Drive
JACKSONVILLE, FL 32218
Address
1361 13th Ave S Ste 250A
JACKSONVILLE BEACH, FL 32250
Address
463386 State Rd. 200 Unit A
YULEE, FL 32097
Address
1865 Lime St. Suite 101
FERNANDINA BEACH, FL 32034
Address
1811 Blanding Blvd. Suite 102
MIDDLEBURG, FL 32068
Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
DUFF, PAUL C Dispensing Physician Assistant Physician Assistant 2397 7/1/2022
DUFF, PAUL C Prescribing Physician Assistant Physician Assistant 2397 7/1/2021
FRIES, ALLISON MARIE Dispensing Physician Assistant Physician Assistant 9106610 8/8/2022
FRIES, ALLISON MARIE Prescribing Physician Assistant Physician Assistant 9106610 8/8/2022
HORNE, LESLIE SUZANN Dispensing Physician Assistant Physician Assistant 9103683 10/8/2021
HORNE, LESLIE SUZANN Prescribing Physician Assistant Physician Assistant 9103683 9/13/2021
JEAN-LOUIS, LOUBENS Dispensing Physician Assistant Physician Assistant 9102172 9/1/2021
JEAN-LOUIS, LOUBENS Prescribing Physician Assistant Physician Assistant 9102172 7/1/2021
NAVARRO, KRYSTIN MICHELLE Dispensing Physician Assistant Physician Assistant 9106795 8/31/2021
NAVARRO, KRYSTIN MICHELLE Prescribing Physician Assistant Physician Assistant 9106795 7/1/2021
SOOD, MONIKA Dispensing Physician Assistant Physician Assistant 9106191 7/1/2021
SOOD, MONIKA Prescribing Physician Assistant Physician Assistant 9106191 7/1/2021

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.