License Verification

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JULIANNE WYSOCKI BROADWATER

License Number: OS16421

Data As Of 12/2/2024

Profession
Osteopathic Physician
License
OS16421
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
10/24/2019
Address of Record
389 equestrians way
NEW SMYRNA BEACH, FL 32168
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CHEN, HELEN Prescribing Physician Assistant Physician Assistant 9113227 11/9/2021
MARTIN, RICARDO Prescribing Physician Assistant Physician Assistant 9106632 2/14/2021
PURPLE, CRYSTAL RENEE Prescribing Physician Assistant Physician Assistant 9116912 2/2/2023
SWALLOWS, COURTNEY Prescribing Physician Assistant Physician Assistant 9114698 9/2/2021
WHARTON, JERRY WAYNE II Prescribing Physician Assistant Physician Assistant 9117163 3/1/2023

Click on the License Number to view License Details for that Practitioner

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.