License Verification
ALBERTO NUNEZ-CUBILLAS
License Number: PA9101680
Data As Of 12/2/2024
- Address
- 410 South 11th Street
- LAKE WALES, FL 33853
- Address
- 40100 Highway 27
- DAVENPORT, FL 33837
- Address
- 410 South 1th Street AdventHealth Lake Wales
- LAKE WALES, FL 33853
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ABII-IKPESA, ULOMA NINO OLAMIPO | Supervising Prescribing Practitioner | Medical Doctor | 148823 | 12/01/2023 |
ABRAHAMS, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 137738 | 10/01/2023 |
ALDAPE, ADOLFO ALEJANDRO | Supervising Prescribing Practitioner | Medical Doctor | 126571 | 10/04/2021 |
ALDEEN, AMER Z | Supervising Prescribing Practitioner | Medical Doctor | 134734 | 09/01/2023 |
ALEXANDER, LARRY LEON | Supervising Prescribing Practitioner | Medical Doctor | 80072 | 08/01/2021 |
ALEXANDER, MARIUS KENNETH | Supervising Prescribing Practitioner | Medical Doctor | 160917 | 07/02/2024 |
ALEXIS, JANEAH | Supervising Prescribing Practitioner | Osteopathic Physician | 20003 | 06/28/2023 |
ALI, MOHAMED SYAD | Supervising Prescribing Practitioner | Physician Assistant | 9104732 | 04/03/2024 |
ALZATE, ALBERTO ISAAC | Supervising Prescribing Practitioner | Medical Doctor | 81335 | 08/01/2021 |
ARRIAGA-ONEILL, YARITZA MD | Supervising Prescribing Practitioner | Medical Doctor | 111529 | 08/01/2021 |
ASHER, CHARLES | Supervising Prescribing Practitioner | Medical Doctor | 127859 | 11/01/2023 |
BANERJEE, PUSHPAL R | Supervising Prescribing Practitioner | Osteopathic Physician | 8141 | 08/16/2021 |
BARLOW, RYAN THOMAS | Supervising Prescribing Practitioner | Medical Doctor | 149752 | 07/26/2021 |
BARNES, RICHARD R JR | Supervising Prescribing Practitioner | Medical Doctor | 69285 | 11/01/2023 |
BARQUIN, JOSE MIGUEL JR | Supervising Prescribing Practitioner | Medical Doctor | 131689 | 11/01/2023 |
BATTISTINI-CHRISTIAN, JOSE FRANCISCO | Supervising Prescribing Practitioner | Medical Doctor | 147500 | 07/02/2024 |
BEATTY, ROBERT PATRICK | Supervising Prescribing Practitioner | Medical Doctor | 97579 | 06/03/2022 |
BERGMAN, JEFFERY JOSEPH | Supervising Prescribing Practitioner | Osteopathic Physician | 11615 | 09/01/2023 |
BERMAN, RONALD | Supervising Prescribing Practitioner | Medical Doctor | 79188 | 03/14/2024 |
BIGGS, FREDERICK SCOTT | Supervising Prescribing Practitioner | Physician Assistant | 9103660 | 08/01/2021 |
BISTER, MARY KATHLEEN | Supervising Prescribing Practitioner | Medical Doctor | 156254 | 09/25/2023 |
BOVELL, DON WALDO MD | Supervising Prescribing Practitioner | Medical Doctor | 81076 | 09/25/2023 |
BRATCHER, MONTEL FRABRECIO | Supervising Prescribing Practitioner | Medical Doctor | 136544 | 07/29/2021 |
BRENNER, ANNETTE MAGNANT | Supervising Prescribing Practitioner | Medical Doctor | 70818 | 09/25/2023 |
BROOKS, JOEL DEVOLENTINE | Supervising Prescribing Practitioner | Medical Doctor | 34887 | 11/01/2023 |
BULLOCK, CORINNE MARY | Supervising Prescribing Practitioner | Medical Doctor | 161025 | 11/01/2023 |
BURKE, ERIN DIANE | Supervising Prescribing Practitioner | Medical Doctor | 148188 | 06/28/2024 |
CARDONA, LINA M | Supervising Prescribing Practitioner | Medical Doctor | 156483 | 10/15/2023 |
CASTELLANOS, JOSEPH HENRY | Supervising Prescribing Practitioner | Medical Doctor | 162638 | 09/25/2023 |
CHERIAN, LESLIE | Supervising Prescribing Practitioner | Osteopathic Physician | 16969 | 01/10/2023 |
CHRYSTAL, SEAN ALLAN | Supervising Prescribing Practitioner | Osteopathic Physician | 18317 | 01/10/2023 |
CIRILLO, LOUIS ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 136104 | 01/10/2023 |
CISSE, NATA | Supervising Prescribing Practitioner | Medical Doctor | 162132 | 11/15/2023 |
CONLEY, AMY RUBEN | Supervising Prescribing Practitioner | Medical Doctor | 79991 | 01/10/2023 |
CONNOLLY, PATRICK J | Supervising Prescribing Practitioner | Osteopathic Physician | 19382 | 03/29/2023 |
CROFT, DEVIN | Supervising Prescribing Practitioner | Medical Doctor | 162073 | 09/15/2023 |
CROWE, DONALD W | Supervising Prescribing Practitioner | Medical Doctor | 43726 | 01/10/2023 |
CUEVAS, DANIEL LIM | Supervising Prescribing Practitioner | Medical Doctor | 129675 | 01/10/2023 |
CUNNINGHAM, MICHAEL F | Supervising Prescribing Practitioner | Osteopathic Physician | 14869 | 07/22/2022 |
D'AMBROSIO, ASHLEY JANE | Supervising Prescribing Practitioner | Medical Doctor | 150911 | 01/10/2023 |
DAMIANO, THOMAS R | Supervising Prescribing Practitioner | Medical Doctor | 147160 | 01/10/2023 |
DAWKINS, DONALD | Supervising Prescribing Practitioner | Osteopathic Physician | 10160 | 08/01/2021 |
DEGROAT, JONATHAN THOMAS | Supervising Prescribing Practitioner | Medical Doctor | 114356 | 01/10/2023 |
DELK, GERALD TYREE | Supervising Prescribing Practitioner | Medical Doctor | 153552 | 01/10/2023 |
DESAI, HARSHEEL | Supervising Prescribing Practitioner | Medical Doctor | 149295 | 09/15/2023 |
DEWAN, VAIL LEE MD | Supervising Prescribing Practitioner | Medical Doctor | 93083 | 01/10/2023 |
DIGIOIA, KRISTIN TERESA | Supervising Prescribing Practitioner | Osteopathic Physician | 17594 | 09/15/2023 |
DIXON, MARK DALE MD | Supervising Prescribing Practitioner | Medical Doctor | 63074 | 01/10/2023 |
DONG, ROBIN | Supervising Prescribing Practitioner | Osteopathic Physician | 16100 | 11/28/2022 |
ECHAGUE COLMAN, RAMON ANTONIO | Supervising Prescribing Practitioner | Medical Doctor | 111476 | 08/01/2021 |
EVERS, NATALIE MARIE | Supervising Prescribing Practitioner | Medical Doctor | 89128 | 08/01/2021 |
FARRELL, DANIEL RAYMOND MD | Supervising Prescribing Practitioner | Medical Doctor | 99257 | 06/19/2023 |
FERNANDEZ OLIVERO, GERARDO ANDRES | Supervising Prescribing Practitioner | Medical Doctor | 139063 | 11/07/2023 |
FIELDS, WILLIAM ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 122379 | 01/10/2023 |
FORTSON, SEAN JAMISON | Supervising Prescribing Practitioner | Osteopathic Physician | 8702 | 01/10/2023 |
FRANCIS, JEFFREY | Supervising Prescribing Practitioner | Medical Doctor | 155906 | 01/10/2023 |
FREELS, KEVIN | Supervising Prescribing Practitioner | Medical Doctor | 131199 | 08/01/2021 |
FUCARINO, MATTHEW DANIEL | Supervising Prescribing Practitioner | Medical Doctor | 110000 | 01/10/2023 |
GARCIA-GONZALEZ, ALEXANDER | Supervising Prescribing Practitioner | Medical Doctor | 109637 | 01/19/2023 |
GONZALEZ, JAVIER IGNACIO | Supervising Prescribing Practitioner | Medical Doctor | 107827 | 04/01/2022 |
GONZALEZ-QUINTERO, ANDREA R | Supervising Prescribing Practitioner | Medical Doctor | 141613 | 05/11/2024 |
GOORLAND, JEFFREY | Supervising Prescribing Practitioner | Medical Doctor | 136109 | 08/01/2021 |
GOYAL, KAMAL KUMAR MD | Supervising Prescribing Practitioner | Medical Doctor | 132449 | 01/18/2022 |
GRANT-LEVY, TATIA R DO | Supervising Prescribing Practitioner | Osteopathic Physician | 7331 | 01/10/2023 |
GRAY, ADAM CLARKE | Supervising Prescribing Practitioner | Medical Doctor | 140862 | 11/01/2023 |
HADDAD, JOE D O | Supervising Prescribing Practitioner | Osteopathic Physician | 15867 | 11/08/2023 |
HAMPTON, WESTON WAYNE | Supervising Prescribing Practitioner | Medical Doctor | 157622 | 09/15/2023 |
HANEY, MARISA LIANA | Supervising Prescribing Practitioner | Medical Doctor | 106073 | 10/23/2023 |
HANNA, RAAFAT MICHEL | Supervising Prescribing Practitioner | Medical Doctor | 69412 | 01/10/2023 |
HART, CALEN GENE | Supervising Prescribing Practitioner | Medical Doctor | 156116 | 01/10/2023 |
HASKINS, KERRY HUGH MD | Supervising Prescribing Practitioner | Medical Doctor | 49468 | 01/10/2023 |
HATHCOCK, AMBER MARIE | Supervising Prescribing Practitioner | Medical Doctor | 152148 | 09/15/2023 |
HILL, CHRISTOPHER CAVENAUGH | Supervising Prescribing Practitioner | Osteopathic Physician | 8088 | 08/01/2021 |
HLAVATY, HALEY DANIELLE | Supervising Prescribing Practitioner | Osteopathic Physician | 16836 | 01/10/2023 |
HUGHES, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 156138 | 01/10/2023 |
HUME, ERIK TIMOTHY DO | Supervising Prescribing Practitioner | Osteopathic Physician | 17391 | 09/15/2023 |
HUMMEL, LAURA | Supervising Prescribing Practitioner | Medical Doctor | 127881 | 01/10/2023 |
ISAKHAROV, MARGARITA | Supervising Prescribing Practitioner | Medical Doctor | 117365 | 08/17/2023 |
JASIMUDDIN, SHEIKH KHWAJA | Supervising Prescribing Practitioner | Medical Doctor | 100463 | 08/14/2021 |
JEAN-FRANCOIS, JULIEN | Supervising Prescribing Practitioner | Medical Doctor | 145041 | 01/10/2023 |
LIN, EDWARD C | Supervising Prescribing Practitioner | Osteopathic Physician | 11547 | 08/01/2022 |
LIPSMEYER, CHRISTOPHER PAUL | Supervising Prescribing Practitioner | Medical Doctor | 102475 | 08/01/2021 |
LUDWIG, RICHARD EUGENE | Supervising Prescribing Practitioner | Physician Assistant | 9102456 | 11/01/2023 |
MARAVEGIAS, ISMENE NINA | Supervising Prescribing Practitioner | Medical Doctor | 85168 | 07/23/2021 |
MARTINEZ, JORDAN | Supervising Prescribing Practitioner | Medical Doctor | 168592 | 07/15/2024 |
MCCAULEY, STEVE | Supervising Prescribing Practitioner | Medical Doctor | 140499 | 05/15/2024 |
MCHALE, MICHAEL SHAMUS | Supervising Prescribing Practitioner | Osteopathic Physician | 6360 | 07/23/2021 |
MIAH, BAHAR | Supervising Prescribing Practitioner | Medical Doctor | 108183 | 08/01/2021 |
MILEY, KASIA | Supervising Prescribing Practitioner | Medical Doctor | 152375 | 12/01/2023 |
MORGAN, DANIEL MUZON | Supervising Prescribing Practitioner | Physician Assistant | 9107682 | 08/01/2021 |
MURRAY, INGRID RAFAELA | Supervising Prescribing Practitioner | Physician Assistant | 9101723 | 08/01/2021 |
NEWHALLER, DANIEL J | Supervising Prescribing Practitioner | Osteopathic Physician | 5594 | 08/18/2021 |
OCHS, JEFFREY DWAYNE | Supervising Prescribing Practitioner | Physician Assistant | 9106445 | 08/01/2021 |
OWENS, KELLY CAMPBELL | Supervising Prescribing Practitioner | Physician Assistant | 9111980 | 08/01/2021 |
PAGAN-RIVERA, REY YAMIL | Supervising Prescribing Practitioner | Medical Doctor | 134981 | 08/01/2021 |
PALMA, ALEXANDER | Supervising Prescribing Practitioner | Medical Doctor | 116475 | 02/04/2024 |
PARKS, THOMAS EDWARD | Supervising Prescribing Practitioner | Physician Assistant | 9105210 | 08/26/2022 |
PATEL, ANKIT B | Supervising Prescribing Practitioner | Medical Doctor | 142112 | 08/01/2021 |
PATEL, CHETAN R | Supervising Prescribing Practitioner | Medical Doctor | 143328 | 08/25/2021 |
PERFETTI, JOYCE | Supervising Prescribing Practitioner | Osteopathic Physician | 15807 | 11/01/2023 |
PIRVAN, DANIEL FLAVIUS | Supervising Prescribing Practitioner | Medical Doctor | 137055 | 08/01/2021 |
PRUITT, JAMES ALLEN | Supervising Prescribing Practitioner | Medical Doctor | 142076 | 08/01/2021 |
PUREWAL, AMARPAL K | Supervising Prescribing Practitioner | Medical Doctor | 121581 | 01/18/2024 |
REDMAN, DANNY | Supervising Prescribing Practitioner | Medical Doctor | 91747 | 10/06/2021 |
ROCKLER, KENDALL MICHELLE | Supervising Prescribing Practitioner | Medical Doctor | 114880 | 12/01/2023 |
RONDON, JUAN DIEGO | Supervising Prescribing Practitioner | Medical Doctor | 155174 | 05/24/2024 |
ROWE, IAN RUSSELL | Supervising Prescribing Practitioner | Medical Doctor | 112301 | 09/05/2024 |
ROWLEY, SHARI LYN DR | Supervising Prescribing Practitioner | Medical Doctor | 120698 | 08/01/2021 |
SANTIAGO-APONTE, RAFAEL A | Supervising Prescribing Practitioner | Medical Doctor | 114771 | 08/16/2021 |
SCHWARTZ, MATTHEW ABRAM | Supervising Prescribing Practitioner | Medical Doctor | 135491 | 01/10/2023 |
SCOTT, DAVID | Supervising Prescribing Practitioner | Medical Doctor | 143679 | 01/10/2023 |
SHAH, SHIRALI | Supervising Prescribing Practitioner | Medical Doctor | 134469 | 01/10/2023 |
SHAPIRO, LAUREN | Supervising Prescribing Practitioner | Medical Doctor | 149050 | 07/01/2021 |
SHARMA, MIRAND REEB | Supervising Prescribing Practitioner | Medical Doctor | 82852 | 07/23/2021 |
SIMPSON, ALISON L | Supervising Prescribing Practitioner | Medical Doctor | 74810 | 01/10/2023 |
SNEAD, THOMAS LEE II | Supervising Prescribing Practitioner | Medical Doctor | 116520 | 08/03/2022 |
SONNTAG, JOSEPH GERARD | Supervising Prescribing Practitioner | Osteopathic Physician | 20350 | 05/01/2024 |
STAFF, KRISTINE E | Supervising Prescribing Practitioner | Medical Doctor | 117924 | 01/10/2023 |
STRICKLEN, HILLARY E | Supervising Prescribing Practitioner | Osteopathic Physician | 13908 | 05/01/2023 |
TAVERAS, ANABELLE NATALIA | Supervising Prescribing Practitioner | Medical Doctor | 148550 | 11/01/2022 |
TAVORNWATTANA, JAMES | Supervising Prescribing Practitioner | Medical Doctor | 156675 | 07/23/2024 |
THOMAS, SHERWIN ZACHARIAH | Supervising Prescribing Practitioner | Medical Doctor | 149747 | 01/01/2023 |
TIMMEL, MARK | Supervising Prescribing Practitioner | Medical Doctor | 151869 | 01/01/2023 |
TIRHEIMER, WENZEL III | Supervising Prescribing Practitioner | Medical Doctor | 83294 | 01/19/2023 |
UMANSKY, AARON JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 151420 | 01/10/2023 |
VELASCO, RODRIGO ERNESTO | Supervising Prescribing Practitioner | Medical Doctor | 136030 | 08/01/2021 |
VERGARA, ROBERT JOHN CRUZ | Supervising Prescribing Practitioner | Medical Doctor | 95775 | 11/17/2022 |
WEAVER, LEAH DARE | Supervising Prescribing Practitioner | Physician Assistant | 9103804 | 08/01/2021 |
WHITE, JEREMY V | Supervising Prescribing Practitioner | Osteopathic Physician | 11399 | 02/25/2021 |
WHITNEY, KEYNA JURI | Supervising Prescribing Practitioner | Medical Doctor | 133690 | 08/25/2022 |
ZIMMER, BRIAN | Supervising Prescribing Practitioner | Osteopathic Physician | 18890 | 08/01/2022 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BARNES, MICHAEL WILLIAM | Prescribing Physician Assistant | Physician Assistant | 9102604 | 8/2/2022 |
BIGGS, FREDERICK SCOTT | Prescribing Physician Assistant | Physician Assistant | 9103660 | 8/1/2021 |
CASANOVA, ROSE MARIE | Prescribing Physician Assistant | Physician Assistant | 9102253 | 8/1/2021 |
COATS, HAL BROOKS | Prescribing Physician Assistant | Physician Assistant | 9103900 | 8/1/2021 |
COBB WEYAND, ALYSSA CLAIRE | Prescribing Physician Assistant | Physician Assistant | 9109483 | 8/2/2022 |
CONDE, NATALIE E | Prescribing Physician Assistant | Physician Assistant | 9105106 | 8/1/2021 |
CRUZ, CHRISTINE | Prescribing Physician Assistant | Physician Assistant | 9107269 | 8/1/2021 |
DEMARSE, WILLIAM ROBEY III | Prescribing Physician Assistant | Physician Assistant | 9101285 | 8/1/2021 |
GREENE, RICHARD MICHAEL | Prescribing Physician Assistant | Physician Assistant | 9106015 | 8/1/2021 |
INJETY, SHYAM KUMAR RAJENDRA | Prescribing Physician Assistant | Physician Assistant | 9108987 | 8/2/2022 |
JOHNSON, IAN JAMES | Prescribing Physician Assistant | Physician Assistant | 9110730 | 8/1/2021 |
KNOTEN, LAUREN | Prescribing Physician Assistant | Physician Assistant | 9110039 | 2/1/2022 |
LAGMAY, CASEY MARIE | Prescribing Physician Assistant | Physician Assistant | 9107276 | 8/1/2021 |
LEBLANC, JILL ELIZABETH | Prescribing Physician Assistant | Physician Assistant | 9114533 | 8/1/2021 |
LUDWIG, RICHARD EUGENE | Prescribing Physician Assistant | Physician Assistant | 9102456 | 8/2/2022 |
MCNALLY, MELISSA LEE | Prescribing Physician Assistant | Physician Assistant | 9102840 | 8/2/2022 |
MILLER, LISA ANN | Prescribing Physician Assistant | Physician Assistant | 9102983 | 8/1/2021 |
MURRAY, INGRID RAFAELA | Prescribing Physician Assistant | Physician Assistant | 9101723 | 8/1/2021 |
NOTMAN, BRITTANY RENEE | Prescribing Physician Assistant | Physician Assistant | 9107171 | 8/1/2021 |
OWENS, KELLY CAMPBELL | Prescribing Physician Assistant | Physician Assistant | 9111980 | 8/1/2021 |
RAJA, JAVALIKA GADHIA | Prescribing Physician Assistant | Physician Assistant | 9102156 | 8/1/2021 |
SCOTT, RANDALL EUGENE | Prescribing Physician Assistant | Physician Assistant | 9103913 | 8/2/2022 |
SKIDMORE, JUSTIN STUART | Prescribing Physician Assistant | Physician Assistant | 9110082 | 8/31/2021 |
THOMPSON, SARA | Prescribing Physician Assistant | Physician Assistant | 9108278 | 8/2/2021 |
VOGT, JASON M | Prescribing Physician Assistant | Physician Assistant | 9107868 | 8/1/2021 |
Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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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.