License Verification

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RUSSELL DAVID RADTKE

License Number: ME106856

Data As Of 12/10/2025

Profession
Medical Doctor
License
ME106856
License Status
Clear/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/08/2010
Address of Record
2502 W SAINT ISABEL STREET
SUITE B
TAMPA, FL 33607
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

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

Name Relationship Profession License Effective Date
BARNHARD, ASHLEY Prescribing Physician Assistant Physician Assistant 9114273 11/19/2025
BEAUCHAMP, STEFANIE Prescribing Physician Assistant Physician Assistant 9115527 11/19/2025
BERGER, JASON ALEXANDER Prescribing Physician Assistant Physician Assistant 9109265 10/28/2025
BRASETH, KATHRYN Prescribing Physician Assistant Physician Assistant 9115741 11/19/2025
BREEN, JENA LYNN Prescribing Physician Assistant Physician Assistant 9108857 11/19/2025
CAMACHO, LANCE WILLIAM Prescribing Physician Assistant Physician Assistant 9109563 11/19/2025
CLINE, JESSICA MARIE LYNN Prescribing Physician Assistant Physician Assistant 9116036 11/19/2025
COLLOM, NEIL EDWARD Prescribing Physician Assistant Physician Assistant 9111249 11/19/2025
CUNNINGHAM, ANDREW Prescribing Physician Assistant Physician Assistant 9112114 11/19/2025
DAVIES, MELANIE JAYNE Prescribing Physician Assistant Physician Assistant 9109114 11/19/2025
DAVIS, KYLE Prescribing Physician Assistant Physician Assistant 9120635 11/19/2025
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 11/19/2025
DEMINO, TRACEY IAN Subordinate Medical Doctor 94690 4/29/2019
DOLAN, NICHOLAS ALEXANDER Prescribing Physician Assistant Physician Assistant 9113623 11/19/2025
EVANGELISTI, MINDY Prescribing Physician Assistant Physician Assistant 9118901 11/19/2025
FELDMAN, TRAVIS SCOTT Prescribing Physician Assistant Physician Assistant 9110309 11/19/2025
FERNANDEZ, FRANKLIN JOSE Prescribing Physician Assistant Physician Assistant 9117044 11/19/2025
FODERA, FRANK ANTHONY Prescribing Physician Assistant Physician Assistant 9117300 11/19/2025
FREEMAN, KELLIE CHRISTINE Prescribing Physician Assistant Physician Assistant 9110742 11/19/2025
ST. JOSEPH'S HOSPITAL Service Provider EMS Service Provider ALS 2909 4/17/2024

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 12/10/2025



* 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.