License Verification

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KELLIE CHRISTINE FREEMAN

License Number: PA9110742

Data As Of 9/7/2026

Profession
Physician Assistant
License
PA9110742
License Status
Clear/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
09/25/2017
Address of Record
7050 GALL BLVD
ZEPHYRHILLS, FL 33541
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 08/01/2024
BISHOP, TRACY MARIE Supervising Prescribing Practitioner Osteopathic Physician 16617 08/01/2024
BREWER, DAVID Supervising Prescribing Practitioner Osteopathic Physician 18768 08/01/2024
CLEMENTS, GINA MARIE Supervising Prescribing Practitioner Medical Doctor 172890 05/01/2025
CLEMENTS, JARED Supervising Prescribing Practitioner Medical Doctor 172162 05/15/2025
CROWE, DONALD W Supervising Prescribing Practitioner Medical Doctor 43726 08/01/2024
DEMARSE, WILLIAM ROBEY III Supervising Prescribing Practitioner Physician Assistant 9101285 01/15/2026
FUCARINO, MATTHEW DANIEL Supervising Prescribing Practitioner Medical Doctor 110000 08/01/2024
HUGHES, MICHAEL Supervising Prescribing Practitioner Medical Doctor 156138 08/01/2024
HUND, JONATHAN Supervising Prescribing Practitioner Medical Doctor 162983 08/01/2024
IORIO, DOMINIC STEPHEN Supervising Prescribing Practitioner Medical Doctor 155302 08/01/2024
LAMBIE, NATALIE DAWN Supervising Prescribing Practitioner Osteopathic Physician 11732 08/01/2024
MALAGON, BRITTANY FAYE Supervising Prescribing Practitioner Medical Doctor 140228 08/01/2024
MCGILLICUDDY, CASEY SHEA Supervising Prescribing Practitioner Medical Doctor 153673 01/15/2026
MONTOYA, DENNIS Supervising Prescribing Practitioner Medical Doctor 113199 08/01/2024
RATHKAMP, SKYLER Supervising Prescribing Practitioner Medical Doctor 158647 08/01/2024
RIVERA GONZALEZ, LUIS SANTIAGO Supervising Prescribing Practitioner Medical Doctor 135275 01/15/2026
ROMANO, FREDERICK P Supervising Prescribing Practitioner Osteopathic Physician 11078 08/01/2024
SAAD, AMANDA Supervising Prescribing Practitioner Medical Doctor 160404 08/01/2024
SOLER, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 08/01/2024
THOMPSON, CHRISTOPHER CHARLES Supervising Prescribing Practitioner Medical Doctor 158911 08/01/2024
VALLE, CHRISTOPHER J Supervising Prescribing Practitioner Medical Doctor 159352 01/15/2026
WENZEL, SERGE ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 14350 08/01/2024
WRIGHT, GARY DAVID Supervising Prescribing Practitioner Medical Doctor 116465 01/15/2026
YASAVOLIAN, MATTHEW Supervising Prescribing Practitioner Medical Doctor 137626 08/01/2024

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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 9/7/2026



* 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.