License Verification

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TREVAINE ANDREE' TREVOR DAVIS

License Number: PA9114150

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9114150
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/01/2021
Address of Record
2300 Park Ave Suite 206
ORANGE PARK, FL 32073
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10475 Centurion PKWY N suite 220
JACKSONVILLE, FL 32256
Address
4565 US Highway 17 Suite 200
FLEMING ISLAND, FL 32003
Address
2627 Riverside Ave Suite 300
JACKSONVILLE, FL 32204
Name Relationship Profession License Effective Date
AZIZ, KEITH TARIQ Supervising Prescribing Practitioner Medical Doctor 152027 10/03/2024
ROBINSON, MICHAEL AARON Supervising Dispensing Practitioner Medical Doctor 112107 03/24/2023

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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.