License Verification

Printer Friendly Version

JOSEPH THOMAS KEELEN JR

License Number: PA2593

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA2593
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/18/1993
Address of Record
303 NORTH CLYDE MORRIS BLVD
HALIFAX MEDICAL CENTER
DAYTONA BEACH, FL 32114
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
500 WINDERLEY PLACE SUITE 115 FLORIDA EMERGENCY PHYSICIANS
MAITLAND, FL 32751
Name Relationship Profession License Effective Date
DALY, ROBERT JOSEPH Supervising Prescribing Practitioner Medical Doctor 123177 09/07/2016
GERSHEN, JESSICA BETH Supervising Prescribing Practitioner Medical Doctor 123153 09/07/2016
HALPERN, SHRAVANTI R Supervising Prescribing Practitioner Medical Doctor 125606 09/07/2016
KOCISKO, MATTHEW JOHN Supervising Prescribing Practitioner Medical Doctor 78891 09/19/2018
SOONTHAROTHAI, REWADEE Supervising Prescribing Practitioner Medical Doctor 108326 09/19/2018
SPRINGER, PETER CHARLES Supervising Prescribing Practitioner Medical Doctor 80538 09/19/2018

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

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.