License Verification

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CHRISTOPHER H TAYLOR

License Number: PA9110290

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9110290
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/31/2017
Address of Record
400 PINELLAS STREET
SUITE 325
CLEARWATER, FL 33756
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
300 PINELLAS STREET
CLEARWATER, FL 33756
Name Relationship Profession License Effective Date
COLBASSANI, HAROLD J JR Supervising Prescribing Practitioner Medical Doctor 58082 04/01/2021
FOX, BENJAMIN D Supervising Prescribing Practitioner Medical Doctor 140910 04/01/2021
GOBO, DEAN JOSEPH Supervising Prescribing Practitioner Medical Doctor 70807 04/01/2021
HAYDON, DEVON HULL Supervising Prescribing Practitioner Medical Doctor 124983 04/01/2021
MICKLER, CHRISTOPHER REGAR Supervising Prescribing Practitioner Osteopathic Physician 10561 04/01/2021
ROSEMURGY, ALEXANDER S II Supervising Prescribing Practitioner Medical Doctor 44370 07/21/2017
ROSS, SHARONA B MD Supervising Prescribing Practitioner Medical Doctor 98462 07/21/2017
SUCANDY, ISWANTO Supervising Prescribing Practitioner Medical Doctor 129245 07/21/2017

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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



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** 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.


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