License Verification

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JEREMY MICHAEL WRIGHT

License Number: PA9108266

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9108266
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/22/2014
Address of Record
1133 Industrial Drive
CRESTVIEW, FL 32539
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1860 Renzulli Rd
NEW SMYRNA BEACH, FL 32168
Address
126 S Nova Ormond Beach UC
ORMOND BEACH, FL 32174
Address
1070 Montgomery Rd. #400
ALTAMONTE SPRINGS, FL 32714
Name Relationship Profession License Effective Date
BARRY, WAYNE S MD Supervising Prescribing Practitioner Medical Doctor 51146 09/27/2016
CANALIZO, JOHN BUCKLEY Supervising Prescribing Practitioner Medical Doctor 67318 09/27/2016
CANTU, MONICA EDITH Supervising Prescribing Practitioner Medical Doctor 122370 09/27/2016
GRIGG, JOHNSIE CAROL Supervising Prescribing Practitioner Medical Doctor 47294 09/05/2018
JAQUES, NICOLE BEALL Supervising Prescribing Practitioner Medical Doctor 132121 01/01/2023
LE, ELIZABETH ANN Supervising Prescribing Practitioner Medical Doctor 99663 09/05/2018
MCCARTHY, GREGORY EDWARD Supervising Prescribing Practitioner Medical Doctor 121306 01/31/2019
MITCHELL-SAMON, LEVONNE MARIE Supervising Prescribing Practitioner Medical Doctor 82607 09/05/2018
NIPPER, NEIL BAKER MD Supervising Prescribing Practitioner Medical Doctor 108608 01/31/2019
PODHAJSKY, LINDSAY MARIE MD Supervising Prescribing Practitioner Medical Doctor 117041 09/27/2016
ROSATI, SAMUEL M Supervising Prescribing Practitioner Medical Doctor 103357 01/31/2019
SCHULTZ, JASON DONALD MD Supervising Prescribing Practitioner Medical Doctor 96405 06/10/2022
SMITH, JEFFREY ALLEN Supervising Prescribing Practitioner Osteopathic Physician 10138 09/05/2018
TSO, TINA Supervising Prescribing Practitioner Medical Doctor 113914 09/05/2018

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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 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.