License Verification

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MAX C LINCOLN

License Number: ME114953

Data As Of 12/3/2024

Profession
Medical Doctor
License
ME114953
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
01/16/2013
Address of Record
2300 Park Ave
Suite 206
ORANGE PARK, FL 32073
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details
Address
2627 RIVERSIDE AVENUE SUITE 300
JACKSONVILLE, FL 32204
Address
15255 MAX LEGGETT PRKWY 5TH FLOOR
JACKSONVILLE, FL 32218
Address
232 PONTE VEDRA PARK DRIVE
PONTE VEDRA, FL 32082
Address
10475 CENTURION PARKWAY N. #220
JACKSONVILLE, FL 32216
Address
4565 US HWY 17 SUITE 200
FLEMING ISLAND, FL 32003
Name Relationship Profession License Effective Date
GOLL, CHRISTOPHER ROBERT Supervising Prescribing Practitioner Medical Doctor 91734 11/12/2024

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Name Relationship Profession License Effective Date
HEATH, DIANE MARIE MS Prescribing Physician Assistant Physician Assistant 9101440 6/30/2016
MATHIAS, MARK ANTHONY Dispensing Physician Assistant Physician Assistant 9105501 6/13/2022
MATHIAS, MARK ANTHONY Prescribing Physician Assistant Physician Assistant 9105501 11/5/2024
MCMAHON, DANIEL PATRICK Dispensing Physician Assistant Physician Assistant 9107996 7/11/2022
SPINNEY, ELIZABETH ANNE Dispensing Physician Assistant Physician Assistant 9104477 11/6/2023
SPINNEY, ELIZABETH ANNE Prescribing Physician Assistant Physician Assistant 9104477 11/6/2023

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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 12/3/2024



* 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.