License Verification

Printer Friendly Version

LEO JAMES MEANEY JR

License Number: PA9101573

Data As Of 10/28/2026

Profession
Physician Assistant
License
PA9101573
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
03/13/2001
Address of Record
Healthpark Medical Center
9981 S.Healthpark Drive
FORT MYERS, FL 33908
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13681 DOCTORS WAY
FT MYERS, FL 33912
Address
2776 S. CLEVELAND AVENUE SUITE 808
FORT MYERS, FL 33901
Name Relationship Profession License Effective Date
AZAM, SAMINA MD Supervising Prescribing Practitioner Medical Doctor 107367 10/22/2026
BADOV, MITKO MITOV Supervising Prescribing Practitioner Medical Doctor 91488 10/22/2026
BAKKER, TAMECA Supervising Prescribing Practitioner Medical Doctor 130579 10/22/2026
BONICHE, ALVARO ALFONSO Supervising Prescribing Practitioner Medical Doctor 120192 10/22/2026
CADET, FREDRICK Supervising Prescribing Practitioner Medical Doctor 125925 10/22/2026
CHECO HEINSEN, ELIE JOSE Supervising Prescribing Practitioner Medical Doctor 119297 10/22/2026
COLAVITO, STEFANIE ANN MD Supervising Prescribing Practitioner Medical Doctor 97124 10/22/2026
DE LA TORRE, DANIEL Supervising Prescribing Practitioner Medical Doctor 91296 10/22/2026
DOBSON, DONITA INES Supervising Prescribing Practitioner Osteopathic Physician 8116 10/22/2026
EARLE-GREEN, KAREN ANTOINETTE Supervising Prescribing Practitioner Medical Doctor 101979 10/22/2026
GARDELLA, WILLIAM MATTHEW Supervising Prescribing Practitioner Medical Doctor 129745 10/22/2026
GOI, TSUTOMU Supervising Prescribing Practitioner Medical Doctor 84322 10/22/2026
GOMEZ-CASTRO, PAMELA Supervising Prescribing Practitioner Medical Doctor 117293 10/22/2026
GRINSHTEYN, SIMON Supervising Prescribing Practitioner Medical Doctor 121251 10/22/2026
ISLAM, AMIRUL Supervising Prescribing Practitioner Medical Doctor 109115 10/22/2026
JIVANOV, IASMINA Supervising Prescribing Practitioner Medical Doctor 120026 10/22/2026
JOSEPHSON, AARON HAL Supervising Prescribing Practitioner Osteopathic Physician 14559 10/22/2026
KLOOS, DANIELA ANAHITA Supervising Prescribing Practitioner Medical Doctor 127362 10/22/2026
LIND, JONATHAN ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 13742 10/22/2026
LLERA, PEDRO L Supervising Prescribing Practitioner Medical Doctor 111789 10/22/2026
MORAN, THOMAS JOSEPH II Supervising Prescribing Practitioner Osteopathic Physician 12311 10/22/2026
NECULA, MONICA CAMELIA Supervising Prescribing Practitioner Medical Doctor 94366 10/22/2026
PARMAR, AMIT Supervising Prescribing Practitioner Medical Doctor 125998 10/22/2026
RONCAL, NOEL OSCAR Supervising Prescribing Practitioner Medical Doctor 97796 10/22/2026
SANCHEZ, DANIEL PEDRO Supervising Prescribing Practitioner Medical Doctor 87329 10/22/2026
SHETTY, SUMEET VIJAY Supervising Prescribing Practitioner Medical Doctor 91067 10/22/2026
SOSA POPOTEUR, WARLYN EUGENIO Supervising Prescribing Practitioner Medical Doctor 131225 10/22/2026
SUCHODOLSKI, NATALYA Supervising Prescribing Practitioner Medical Doctor 84683 10/22/2026
SULTAN, ALI ASAAD Supervising Prescribing Practitioner Medical Doctor 96258 10/22/2026
TORCHON, GESNER A Supervising Prescribing Practitioner Medical Doctor 90206 10/22/2026
VEGA, TRINI Supervising Prescribing Practitioner Medical Doctor 103751 10/22/2026
VILME, MADELAINE J Supervising Prescribing Practitioner Medical Doctor 97054 10/22/2026

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

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 10/28/2026



* 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.