License Verification

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BLAKE GUILLORY II

License Number: OS16396

Data As Of 12/2/2024

Profession
Osteopathic Physician
License
OS16396
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
10/11/2019
Address of Record
10979 Lost Lake dr. apt 204
NAPLES, FL 34105
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

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

Name Relationship Profession License Effective Date
ALI, MOHAMED SYAD Prescribing Physician Assistant Physician Assistant 9104732 11/28/2023
ARBUCKLE, SEAN SR Prescribing Physician Assistant Osteopathic Physician 11132 11/28/2023
BASTIN, JOHN PATRICK PA-C Prescribing Physician Assistant Physician Assistant 9110037 11/28/2023
BERMAN, BRIAN L Prescribing Physician Assistant Medical Doctor 110013 11/28/2023
BERRIOS, MATTHEW WILLIAM Prescribing Physician Assistant Osteopathic Physician 13897 11/28/2023
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 11/28/2023
BURNS, AMANDA MICHELLE Prescribing Physician Assistant Physician Assistant 9116653 11/28/2023
CASANOVA, JUDITH Prescribing Physician Assistant Physician Assistant 9105079 11/28/2023
DEL ROSARIO, CAELYN MARI C Prescribing Physician Assistant Medical Doctor 148537 11/28/2023
DJOUINI, MERIEM Prescribing Physician Assistant Physician Assistant 9116041 7/19/2024
GLARDON, CHRISTIAN GEORGES Prescribing Physician Assistant Physician Assistant 9105689 11/28/2023
HANDT, TYLER JASON Prescribing Physician Assistant Physician Assistant 9116177 3/14/2024
JOHNSON, MICHAEL Prescribing Physician Assistant Physician Assistant 9111371 11/28/2023
LANGDON, PHILLIP NEIL Prescribing Physician Assistant Physician Assistant 9109345 11/28/2023
LEONIDES, ROCIO Prescribing Physician Assistant Physician Assistant 9111441 11/28/2023
MARTONE, CHRISTAN ROSEMARY Prescribing Physician Assistant Physician Assistant 9106016 11/28/2023
MORRIS, SCOTT KIMBERLY Prescribing Physician Assistant Physician Assistant 2885 11/28/2023
MUJICA, JORGE ANTONIO Subordinate Medical Doctor 108845 10/1/2020
NAYEEM, NAZMUL HASAN Prescribing Physician Assistant Physician Assistant 9117106 11/28/2023
PITTMAN, ANNA ELIZABETH CORY Prescribing Physician Assistant Physician Assistant 9108780 11/28/2023
PITTMAN, CARLOS TERRELL Prescribing Physician Assistant Physician Assistant 9107816 11/28/2023
POGGI, JOSHUA JOSEPH Prescribing Physician Assistant Physician Assistant 9109020 11/28/2023
ROZWADOWSKI, THOMAS JOSEPH MD Prescribing Physician Assistant Medical Doctor 100274 11/28/2023
SALAS, JENNIFER LYNNE Prescribing Physician Assistant Physician Assistant 9104807 11/28/2023
SIDUN, NICHOLAS Prescribing Physician Assistant Physician Assistant 9116132 11/28/2023
SMIT, MARIA VALENTI Prescribing Physician Assistant Physician Assistant 9105510 11/28/2023
SMITHBACK, PAIGE CLAIRE Prescribing Physician Assistant Physician Assistant 9117557 11/28/2023
WALKER, DANIELLE LINDSEY Prescribing Physician Assistant Physician Assistant 9103745 11/28/2023
WILEY, AMY HELEN Prescribing Physician Assistant Physician Assistant 9111747 11/28/2023
WILSON, SHERENE NASHARA Prescribing Physician Assistant Physician Assistant 9106036 11/28/2023

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

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 12/2/2024



* 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.