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SHANNON MIXON COVITZ

License Number: OS11652

Data As Of 12/2/2024

Profession
Osteopathic Physician
License
OS11652
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
04/03/2012
Address of Record
1324 Lakeland Hills Blvd
LAKELAND, FL 33805
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
BANERJEE, PUSHPAL R Supervising Prescribing Practitioner Osteopathic Physician 8141 08/01/2021
BENJAMIN, SUZANNE NANCY MD Supervisor Medical Doctor 74150 11/01/2020
COVITZ, SHANNON MIXON Supervisor Osteopathic Physician 11652 11/01/2020
DERESPINO, ALLISON CORINNE Supervisor Medical Doctor 124208 11/01/2020
DERR, CHARLOTTE Supervisor Medical Doctor 85340 11/01/2020
DIBARTOLOMEO, DOMENIC Supervisor Medical Doctor 132423 11/01/2020
DRUKTEINIS, DAINIUS ALBERTAS Supervisor Medical Doctor 109447 11/01/2020
EASTMAN, JACOB NESS MIZRAHI Supervisor Medical Doctor 100729 11/01/2020
FALODUN, OLUWATOYIN E Supervisor Medical Doctor 93204 11/01/2020

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Name Relationship Profession License Effective Date
BAILEY-STULTZ, MAROLDA P Prescribing Physician Assistant Physician Assistant 2031 2/21/2020
BLANKENSHIP, COURTNEY ANN Prescribing Physician Assistant Physician Assistant 9106490 2/21/2020
BUTZ, MELISSA A Prescribing Physician Assistant Physician Assistant 9102275 2/21/2020
CARDWELL, DONALD VINCENT JR Prescribing Physician Assistant Physician Assistant 3619 2/21/2020
COVITZ, SHANNON MIXON Subordinate Osteopathic Physician 11652 11/1/2020
DUONG-STRICKLAND, DIEN K Prescribing Physician Assistant Physician Assistant 3211 2/20/2020
EPSTEIN, FREDERICK B Subordinate Medical Doctor 44447 9/1/2018
EVERSOLE, KRISTEN SUSSANNE Prescribing Physician Assistant Physician Assistant 9103496 2/20/2020
HASANDZEKAJ, ARDIJAN Subordinate Medical Doctor 124024 11/1/2020
HOARD, MICHAEL RYAN Prescribing Physician Assistant Physician Assistant 9112164 2/6/2020
JOHNSON, JILLIAN PALMER Prescribing Physician Assistant Physician Assistant 9105057 2/21/2020
LAM, BETHANY-BINH KIET Prescribing Physician Assistant Physician Assistant 9103894 2/21/2020
LEVINE, REBECCA NICOLE Prescribing Physician Assistant Physician Assistant 9112012 2/6/2020
LYNCH, KATIE Prescribing Physician Assistant Physician Assistant 9110528 2/21/2020
MCCABE, JANET FAITH Prescribing Physician Assistant Physician Assistant 9104602 2/21/2020
MOODY, NANCY C Prescribing Physician Assistant Physician Assistant 2377 2/21/2020
PALMER, BRIAN S Prescribing Physician Assistant Physician Assistant 1779 2/21/2020
PUTNAM, MALLORY MOODY Prescribing Physician Assistant Physician Assistant 9106745 2/21/2020
SOTO, STEFANIE Prescribing Physician Assistant Physician Assistant 9109569 2/11/2020
VYTYKAC, ADAM Subordinate Medical Doctor 115497 12/1/2018
WALLACE, NICOLE ELIZABETH Prescribing Physician Assistant Physician Assistant 9103316 2/6/2020
WALLACE, STEVEN GREGORY JR Prescribing Physician Assistant Physician Assistant 9107761 2/6/2020
ZILBERBERG, KACEY SABRA Prescribing Physician Assistant Physician Assistant 9110491 2/6/2020

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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 12/2/2024



* 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.