License Verification

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EDWARD C LIN

License Number: OS11547

Data As Of 12/2/2024

Profession
Osteopathic Physician
License
OS11547
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
12/20/2011
Address of Record
110 LONGWOOD AVE
ROCKLEDGE, FL 32955
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BARABAS, ALEXANDRU Supervisor Medical Doctor 133657 10/01/2020
FERNANDEZ, JOHN RUSSELL Supervisor Medical Doctor 65400 03/30/2021
GLAZER, KELLY SYLVIA Supervising Prescribing Practitioner Medical Doctor 149363 08/13/2021
STANAZAI, HASHIM Supervisor Medical Doctor 137949 03/30/2021
WHITNEY, KEYNA JURI Supervisor Medical Doctor 133690 10/19/2020

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Name Relationship Profession License Effective Date
BAKER, MARSHA LYNN Prescribing Physician Assistant Physician Assistant 9101651 2/22/2017
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 8/10/2022
COATS, HAL BROOKS Prescribing Physician Assistant Physician Assistant 9103900 7/1/2021
CONTI, LORETTA MARIE Prescribing Physician Assistant Physician Assistant 9102660 4/6/2022
CRUZ, CHRISTINE Prescribing Physician Assistant Physician Assistant 9107269 8/1/2022
ECHAGUE COLMAN, RAMON ANTONIO Prescribing Physician Assistant Medical Doctor 111476 9/23/2021
FREDERIQUE-BELL, PEGGY Prescribing Physician Assistant Physician Assistant 9101972 7/1/2021
GAREL, JOHAN ISAIAH Prescribing Physician Assistant Physician Assistant 9106448 11/20/2021
GRAHAM, KELLY ANN Prescribing Physician Assistant Physician Assistant 9112573 7/1/2021
GREENE, RICHARD MICHAEL Prescribing Physician Assistant Physician Assistant 9106015 7/1/2021
HAMILTON, CARLTON CARMICHAEL II Subordinate Medical Doctor 87840 3/1/2020
HANCOCK, MAE ROSANNE VILLEGAS Prescribing Physician Assistant Physician Assistant 9105391 9/23/2021
HOLT, CHARDE BREANN Prescribing Physician Assistant Physician Assistant 9112643 9/16/2021
HULTZ, CINTIA HENRIQUES Prescribing Physician Assistant Physician Assistant 9109327 4/1/2022
JASIMUDDIN, SHEIKH KHWAJA Prescribing Physician Assistant Medical Doctor 100463 9/16/2021
JASIMUDDIN, SHEIKH KHWAJA Subordinate Medical Doctor 100463 2/1/2021
JOHNSON, IAN JAMES Prescribing Physician Assistant Physician Assistant 9110730 7/1/2021
JOUBERT, CHRISTY LAU Prescribing Physician Assistant Physician Assistant 9113148 9/1/2022
KOONKITTI, PARICHART CANDY SUPER-DOsubordinate Medical Doctor 125284 10/4/2016
LAGMAY, CASEY MARIE Prescribing Physician Assistant Physician Assistant 9107276 9/1/2022
LEBLANC, JILL ELIZABETH Prescribing Physician Assistant Physician Assistant 9114533 7/1/2022
LENTZ, JUSTIN Prescribing Physician Assistant Physician Assistant 9117333 5/8/2024
MILLER, LISA ANN Prescribing Physician Assistant Physician Assistant 9102983 7/1/2021
MITCHELL, CRAIG ROBERT MD Subordinate Medical Doctor 102920 2/26/2021
NOTMAN, BRITTANY RENEE Prescribing Physician Assistant Physician Assistant 9107171 7/1/2021
NUNEZ-CUBILLAS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101680 8/1/2022
POST, CYNTHIA SUE Prescribing Physician Assistant Physician Assistant 3617 3/16/2020
SAVANI, PARESH D MD Prescribing Physician Assistant Medical Doctor 95295 7/1/2021
THOMPSON, SARA Prescribing Physician Assistant Physician Assistant 9108278 7/1/2021
TRANCE, GARRETT Prescribing Physician Assistant Osteopathic Physician 9546 7/1/2021
VOGT, JASON M Prescribing Physician Assistant Physician Assistant 9107868 7/1/2021
WEAVER, LEAH DARE Prescribing Physician Assistant Physician Assistant 9103804 8/1/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/2/2024



* 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.