License Verification

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SUSAN MERKEL HATFIELD

License Number: PA9102015

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9102015
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/16/2002
Address of Record
390 N. Courtenay Pkwy
MERRITT ISLAND, FL 32953
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
490 Centre Lake Dr. NE #200A
PALM BAY, FL 32907
Address
1840 S. Washington Ave.
TITUSVILLE, FL 32780
Address
3045 Columbia Blvd
TITUSVILLE, FL 32780
Address
2113 Sarno Rd.
MELBOURNE, FL 32935
Name Relationship Profession License Effective Date
WILLIAMS, DAVID THOMAS Supervising Dispensing Practitioner Osteopathic Physician 6588 06/28/2019
WILLIAMS, DAVID THOMAS Supervising Prescribing Practitioner Osteopathic Physician 6588 06/28/2019

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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.