License Verification

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TYLER JACK STOOTS

License Number: PA9107491

Data As Of 10/28/2026

Profession
Physician Assistant
License
PA9107491
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
09/16/2013
Address of Record
390 N Courtenay Pkwy
MERRITT ISLAND, FL 32953
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3045 Columbia Rd.
TITUSVILLE, FL 32780
Address
7025 N. Highway US1
COCOA, FL 32927
Address
13800 US Highway 1
SEBASTIAN, FL 32958
Address
5500 Stadium Parkway
VIERA WEST, FL 32940
Address
2330 N Wickman
MELBOURNE, FL 32935
Address
2500 Minton Rd
WEST MELBOURNE, FL 32904
Address
200 Malabar Rd
PALM BAY, FL 32909
Address
2525 Garden St.
TITUSVILLE, FL 32796
Address
275 W Cocoa Beach Cswy
COCOA BEACH, FL 32931
Address
7925 N. Wickman Rd
MELBOURNE, FL 32940
Address
820 Palm Bay Rd. NE
PALM BAY, FL 32905
Address
206 E. New Haven Ave.
MELBOURNE, FL 32901
Address
2113 Sarno Rd
MELBOURNE, FL 32935
Address
1840 S. Washington Ave.
TITUSVILLE, FL 32780
Address
5005 Port St. John Pkwy
PORT ST. JOHN, FL 32927
Address
1000 S. Ridgewood Ave.
EDGEWATER, FL 32132
Address
490 Centre Lake Drive NE
PALM BAY, FL 32907
Address
1400 Rockledge Blvd
ROCKLEDGE, FL 32955
Name Relationship Profession License Effective Date
DICKUN, CHRISTAL Supervising Prescribing Practitioner Medical Doctor 162870 01/01/2026
VEGA, GILBERTO Supervising Prescribing Practitioner Medical Doctor 152251 01/01/2026
WHITE, STEPHEN WAYNE Supervising Prescribing Practitioner Osteopathic Physician 4050 01/01/2026
WILLIAMS, DAVID THOMAS Supervising Dispensing Practitioner Osteopathic Physician 6588 10/29/2022
WILLIAMS, DAVID THOMAS Supervising Prescribing Practitioner Osteopathic Physician 6588 10/29/2022

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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 10/29/2026



* 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.