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LORENA RODRIGUEZ MARTINEZ

License Number: OS21064

Data As Of 9/7/2026

Profession
Osteopathic Physician
License
OS21064
License Status
Clear/Active
License Expiration Date
3/31/2028
License Original Issue Date
05/31/2024
Address of Record
1 Davis Blvd
Suite 504
TAMPA, FL 33606
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
ALIKHAN, KOUSAI OUSAMA Prescribing Physician Assistant Physician Assistant 9120258 7/23/2026
ARANGO, JEFFREY Prescribing Physician Assistant Physician Assistant 9111116 4/2/2026
BLANCHETTE, SARAH Prescribing Physician Assistant Physician Assistant 9120246 4/2/2026
BRUNO, MARCUS Prescribing Physician Assistant Physician Assistant 9110320 4/2/2026
BURKE, JOSEPH Prescribing Physician Assistant Physician Assistant 9112652 4/2/2026
CARTER, RANDALL ALLEN Prescribing Physician Assistant Physician Assistant 9118770 4/2/2026
COHEN, MADISON Prescribing Physician Assistant Physician Assistant 9119373 4/2/2026
COHEN, TAYLOR CAITLIN Prescribing Physician Assistant Physician Assistant 9116758 4/2/2026
COLLOM, NEIL EDWARD Prescribing Physician Assistant Physician Assistant 9111249 4/2/2026
DEL CID, JISELLE Prescribing Physician Assistant Physician Assistant 9117865 4/2/2026
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 11/10/2025
DIXON, CHRISTINA Prescribing Physician Assistant Physician Assistant 9108704 4/2/2026
EDMONDS, ROBERT STEPHEN Prescribing Physician Assistant Physician Assistant 9118651 4/2/2026
HAMIL, JUSTIN Prescribing Physician Assistant Physician Assistant 9115544 11/10/2025
IVANOV, RUSLAN Prescribing Physician Assistant Medical Doctor 77225 11/10/2025
JOUBERT, CHRISTY LAU Prescribing Physician Assistant Physician Assistant 9113148 2/18/2026
KENDZIOR, CAYLA RAE Prescribing Physician Assistant Physician Assistant 9113721 4/2/2026
KEY, MORGAN KIMMELL Prescribing Physician Assistant Physician Assistant 9117072 4/2/2026
LARSON, EVA Prescribing Physician Assistant Physician Assistant 9106160 4/2/2026
MCNALLY, MELISSA LEE Prescribing Physician Assistant Physician Assistant 9102840 7/21/2026
MIAH, BAHAR Prescribing Physician Assistant Medical Doctor 108183 11/10/2025
MONTGOMERY, AUDREY CATHERINE Prescribing Physician Assistant Physician Assistant 9107343 4/2/2026
MOORE, ERIN RACHEL Prescribing Physician Assistant Physician Assistant 9111310 4/2/2026
MULVEY, ELIZABETH Prescribing Physician Assistant Physician Assistant 9111492 4/2/2026
NUNEZ-CUBILLAS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101680 2/18/2026
PURCELL, CRAIG SUMNER Prescribing Physician Assistant Physician Assistant 9116282 4/2/2026
PUTNAM, MALLORY MOODY Prescribing Physician Assistant Physician Assistant 9106745 7/23/2026
RIOS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101599 4/2/2026
ROBINSON, CINDY LIZ Prescribing Physician Assistant Physician Assistant 9104267 4/2/2026
SATCHELL, TIFFANY MELISSA Prescribing Physician Assistant Physician Assistant 9109448 4/2/2026
SHAW, LAUREN ALYSSE Prescribing Physician Assistant Physician Assistant 9110682 4/2/2026
WEAVER, LEAH DARE Prescribing Physician Assistant Physician Assistant 9103804 11/10/2025
WHARTON, JERRY WAYNE II Prescribing Physician Assistant Physician Assistant 9117163 4/2/2026
WIN, BRIAN Prescribing Physician Assistant Physician Assistant 9113319 11/10/2025

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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 9/7/2026



* 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.