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KATHERINE LEIGH MONTGOMERY PA-C

License Number: PA9112508

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9112508
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/12/2019
Address of Record
1550 Barkley Circle
FORT MYERS, FL 33907
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
636 Del Prado Blvd Cape Coral Hospital
CAPE CORAL, FL 33990
Address
9981 S. Healthpark Dr Healthpark Hospital
FORT MYERS, FL 33908
Address
13681 Doctors Way Gulf Coast Hospital
FORT MYERS, FL 33912
Address
1002 Country Club Blvd.
CAPE CORAL, FL 33990
Name Relationship Profession License Effective Date
AGARWAL, ANUJ Supervising Prescribing Practitioner Medical Doctor 113807 12/23/2019
ALLEN, SCOTT FRANCIS Supervising Prescribing Practitioner Medical Doctor 127288 12/23/2019
BAILEY, DAVID JOHN OSBERT Supervising Prescribing Practitioner Medical Doctor 90050 12/23/2019
CHARLES, NELSON L MD Supervising Prescribing Practitioner Medical Doctor 27185 12/23/2019
COSMAI, ELIZABETH MARIE Supervising Prescribing Practitioner Medical Doctor 82180 12/23/2019
ESCARCEGA ALARCON, RICARDO ORLANDO Supervising Prescribing Practitioner Medical Doctor 123317 12/23/2019
GUERRERO MANTILLA, ISRAEL Supervising Prescribing Practitioner Medical Doctor 121406 12/30/2019
HANLON, BRIAN ANDREW Supervising Prescribing Practitioner Medical Doctor 83978 12/23/2019
HON, HENRY H Supervising Prescribing Practitioner Medical Doctor 42146 12/23/2019
MEHTA, SHALIN BHUPATRAY Supervising Prescribing Practitioner Medical Doctor 99310 12/23/2019
PRABAKARAN, BALACHANDRAN Supervising Prescribing Practitioner Medical Doctor 45332 12/23/2019
PRIEST, STEVEN VINCENT Supervising Prescribing Practitioner Medical Doctor 57761 12/23/2019
ROSEN, JEFFREY HENRY Supervising Prescribing Practitioner Medical Doctor 37884 12/30/2019
SOSA PEREZ, SUALY Supervising Prescribing Practitioner Medical Doctor 121608 12/23/2019
TOWE, KENNETH MICHAEL Supervising Prescribing Practitioner Medical Doctor 78662 12/23/2019

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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.