License Verification

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BRIAN BONENFANT

License Number: PA9113372

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9113372
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/08/2020
Address of Record
1700 S Tamiami Trail
Sarasota
SARASOTA, FL 34239
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
5360 University Parkway
SARASOTA, FL 34233
Address
1040 River Heritage Blvd Sarasota Memorial Urgent Care Center
BRADENTON, FL 34212
Address
997 N US Highway 41 Bypass Sarasota Memorial Urgent Care Center
VENICE, FL 34285
Address
5590 Bee Ridge Road Sarasota Memorial Urgent Care Center
SARASOTA, FL 34233
Address
500 John Ringling Blvd Sarasota Memorial Urgent Care Center
SARASOTA, FL 34236
Address
1700 S Tamiami Trail
SARASOTA, FL 34239
Name Relationship Profession License Effective Date
GERBER, JOEL LAWRENCE Supervising Dispensing Practitioner Medical Doctor 84098 09/03/2020
HOLLAND, REUBEN WRIGHT III Supervising Dispensing Practitioner Medical Doctor 55507 09/03/2020

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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.