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RICHARD CHARLES KULLEN III

License Number: PA9102335

Data As Of 10/27/2026

Profession
Physician Assistant
License
PA9102335
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
03/07/2003
Address of Record
200 HOSPITAL AVENUE
MARTIN MEMORIAL NORTH
STUART, FL 34994
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
200 SE Hospital Avenue Cleveland Clinic Martin North Hospital
STUART, FL 34994
Address
2100 SE Salerno Road Cleveland Clinic Martin South Hospital
STUART, FL 34997
Address
1095 NW St Lucie West Blvd Martin Emergency Center at St Lucie West
PORT SAINT LUCIE, FL 34986
Address
10000 SW Innovation Way Cleveland Clinic Tradition Hospital
PORT SAINT LUCIE, FL 34987
Address
1210 S. OLD DIXIE HIGHWAY JUPITER MEDICAL CENTER
JUPITER, FL 33458
Name Relationship Profession License Effective Date
ADAMS, THOMAS NATHANAEL DO Supervising Prescribing Practitioner Osteopathic Physician 15944 10/26/2026
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 10/26/2026
ALLEN, PATRICIA B MD Supervising Prescribing Practitioner Medical Doctor 66057 10/26/2026
ALLISON, TIMOTHY BRUCE Supervising Prescribing Practitioner Medical Doctor 70812 10/26/2026
AVERBACH, JOSEPH BRETT Supervising Prescribing Practitioner Medical Doctor 58033 10/26/2026
BEATTIE, PHILIP Supervising Prescribing Practitioner Medical Doctor 88719 10/26/2026
BEGLEITER, DAVID ERIC Supervising Prescribing Practitioner Medical Doctor 101373 10/26/2026
BERMAN, BRIAN L Supervising Prescribing Practitioner Medical Doctor 110013 10/26/2026
BERRY, JERISA Supervising Prescribing Practitioner Osteopathic Physician 12892 10/26/2026
BRUNNER, CHRISTINE MARY Supervising Prescribing Practitioner Osteopathic Physician 10898 10/26/2026
BURKE, TIMOTHY MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 9830 10/26/2026
CARIELLO, JOSEPH RICHARD Supervising Prescribing Practitioner Medical Doctor 58541 10/26/2026
CARSTENSEN, TERRY KAISER Supervising Prescribing Practitioner Osteopathic Physician 7732 10/26/2026
CASKER, MARGERY VICTORIA Supervising Prescribing Practitioner Medical Doctor 85159 10/26/2026
CATTELANE, JERRY J JR Supervising Prescribing Practitioner Osteopathic Physician 10161 10/26/2026
CHACHKES, JACOB S Supervising Prescribing Practitioner Medical Doctor 99873 10/26/2026
CHILDRESS, JOHN MICHAEL Supervising Prescribing Practitioner Medical Doctor 95727 10/26/2026
COLLINS, CHARLES M M D Supervising Prescribing Practitioner Medical Doctor 41466 10/26/2026
COLLINS, JOHN ROBERT Supervising Prescribing Practitioner Osteopathic Physician 12522 10/26/2026
COOLMAN, BRETT LOEWER Supervising Prescribing Practitioner Medical Doctor 115411 10/26/2026
CUMMINGS, IAN WALKER Supervising Prescribing Practitioner Medical Doctor 93976 10/26/2026
DAKSHAW, SEAN D Supervising Prescribing Practitioner Osteopathic Physician 11537 10/26/2026
DANIA, ISMAIL ADEBAYO ADEMINIYI Supervising Prescribing Practitioner Medical Doctor 90745 10/26/2026
DIAZ, LUIS C Supervising Prescribing Practitioner Medical Doctor 88391 10/26/2026
DODDS, STEPHEN HOWARD Supervising Prescribing Practitioner Medical Doctor 105438 10/26/2026
ELDER, LANA ANDREA Supervising Prescribing Practitioner Medical Doctor 104494 10/26/2026
ELLOWITZ, DANELLE KUTNER Supervising Prescribing Practitioner Osteopathic Physician 11293 10/26/2026
FERRARO, MICHAEL LAWRENCE DO Supervising Prescribing Practitioner Osteopathic Physician 10265 10/26/2026
FROMANG, STEPHEN GRAVES Supervising Prescribing Practitioner Osteopathic Physician 11913 10/26/2026
GALLAGHER, MARK ROBERT Supervising Prescribing Practitioner Medical Doctor 119439 10/26/2026
GARRETT, BRIANNA LYNNE Supervising Prescribing Practitioner Medical Doctor 104197 10/26/2026
GILLIS, DAVID M Supervising Prescribing Practitioner Osteopathic Physician 9767 10/26/2026
GONZALEZ, YOLANDA Supervising Prescribing Practitioner Medical Doctor 73355 10/26/2026
GOYAL, LALIT KISHORE MD Supervising Prescribing Practitioner Medical Doctor 115143 10/26/2026
GOZAR, JOHN ALVIN MD Supervising Prescribing Practitioner Medical Doctor 91258 10/26/2026
GRABER, MYLISSA AMY Supervising Prescribing Practitioner Medical Doctor 82335 10/26/2026
GRANADA, GUSTAVO ADOLFO Supervising Prescribing Practitioner Medical Doctor 101469 10/26/2026
GROSSMAN, MARC MICHAEL Supervising Prescribing Practitioner Medical Doctor 93276 10/26/2026
HALPERN, JOHN IRVING HOWARD Supervising Prescribing Practitioner Osteopathic Physician 6052 10/26/2026
HANRAHAN, KRISTEN ASHLEY Supervising Prescribing Practitioner Osteopathic Physician 14175 10/26/2026
HAROW, B CORY Supervising Prescribing Practitioner Medical Doctor 92932 10/26/2026
HILL, JAMES OTIS II Supervising Prescribing Practitioner Osteopathic Physician 8885 10/26/2026
JENKINS, KAREN ELIZABETH Supervising Prescribing Practitioner Medical Doctor 98353 10/26/2026
KATT, LAWRENCE Supervising Prescribing Practitioner Medical Doctor 51241 10/26/2026
KRABBE, JANICE MARIE M D Supervising Prescribing Practitioner Medical Doctor 73590 10/26/2026
LALANI, FARAH NAUSHIR Supervising Prescribing Practitioner Osteopathic Physician 10814 10/26/2026
LE, DA HUU Supervising Prescribing Practitioner Medical Doctor 107180 10/26/2026
LEVY, DARREN EDWARD Supervising Prescribing Practitioner Osteopathic Physician 7920 10/26/2026
LIBMAN, MICHELE F Supervising Prescribing Practitioner Medical Doctor 81297 10/26/2026
LIEBERMAN, MARK EZRA Supervising Prescribing Practitioner Medical Doctor 54945 10/26/2026
LINETT, MICHAEL L Supervising Prescribing Practitioner Osteopathic Physician 9876 10/26/2026
LOEW, RICHARD D DO Supervising Prescribing Practitioner Osteopathic Physician 5429 10/26/2026
MADDALOZZO, GERALD ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 12396 10/26/2026
MALOY, ANNA LAURA Supervising Prescribing Practitioner Medical Doctor 91844 10/26/2026
MARTONE, MARIA Supervising Prescribing Practitioner Osteopathic Physician 7451 10/26/2026
MCKINNEY, ILKA LANGSTON Supervising Prescribing Practitioner Medical Doctor 92991 10/26/2026
MELZER, DAVID R Supervising Prescribing Practitioner Osteopathic Physician 4774 10/26/2026
MOHSENI, NATHAN Supervising Prescribing Practitioner Osteopathic Physician 11184 10/26/2026
MORRIS, JASON J Supervising Prescribing Practitioner Osteopathic Physician 12326 10/26/2026
MUENCHEN, CHRISTOPHER CHARLES MD Supervising Prescribing Practitioner Medical Doctor 96630 10/26/2026
NORTON, VICKI DIANA Supervising Prescribing Practitioner Medical Doctor 107290 10/26/2026
OTTAVIANI, LAURA BETH Supervising Prescribing Practitioner Osteopathic Physician 7921 10/26/2026
PARR, STEVEN DONALD Supervising Prescribing Practitioner Osteopathic Physician 8430 10/26/2026
PELLETT, NADIA IVANOV DO Supervising Prescribing Practitioner Osteopathic Physician 9848 10/26/2026
PETRAKOS, GINA CHRISTINE Supervising Prescribing Practitioner Osteopathic Physician 13197 10/26/2026
PILLITTERI, RIAN JOHN MD Supervising Prescribing Practitioner Medical Doctor 113299 10/26/2026
POLHEMUS, JONATHAN JAMES Supervising Prescribing Practitioner Medical Doctor 92843 10/26/2026
POMERANTZ, NICOLE ARAH Supervising Prescribing Practitioner Osteopathic Physician 10549 10/26/2026
RAVANZO, JASON ALIB Supervising Prescribing Practitioner Osteopathic Physician 8319 10/26/2026
ROACHE-ROBINSON, PORSHA ALEXIA Supervising Prescribing Practitioner Osteopathic Physician 15820 10/26/2026
SASSON, VICTOR ANDRES Supervising Prescribing Practitioner Medical Doctor 87885 10/26/2026
SCHULTE, BRADLEY JOHN Supervising Prescribing Practitioner Osteopathic Physician 10150 10/26/2026
SINGER, GEOFFREY LEE MD Supervising Prescribing Practitioner Medical Doctor 91675 10/26/2026
SKYLAR, ROMAN E Supervising Prescribing Practitioner Medical Doctor 85138 10/26/2026
SPENCE, PETER JOHN Supervising Prescribing Practitioner Osteopathic Physician 10286 10/26/2026
TANABE, DON TATSUMI Supervising Prescribing Practitioner Medical Doctor 61426 10/26/2026
TERSKIY, ALEXANDRA Supervising Prescribing Practitioner Medical Doctor 124064 10/26/2026
TRANCE, GARRETT Supervising Prescribing Practitioner Osteopathic Physician 9546 10/26/2026
TRIVEDI, TAPASWINI AMRITLAL MD Supervising Prescribing Practitioner Medical Doctor 113991 10/26/2026
TSALAMANDRIS, KYRIAKOS Supervising Prescribing Practitioner Medical Doctor 110798 10/26/2026
TSOLAKIS, PHILIP CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 71708 10/26/2026
TURNER, REGE Supervising Prescribing Practitioner Osteopathic Physician 15244 10/26/2026
VENTZEK, AL JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 8837 10/26/2026
VILLEGAS, JUAN FELIPE MD Supervising Prescribing Practitioner Medical Doctor 88996 10/26/2026
VIRKLER, JONATHAN ANDREW Supervising Prescribing Practitioner Medical Doctor 112919 10/26/2026
VU, CHRISTOPHER D Supervising Prescribing Practitioner Medical Doctor 108954 10/26/2026
WEBER, ROBERT E MD Supervising Prescribing Practitioner Medical Doctor 60203 10/26/2026
WELLER, KARL S Supervising Prescribing Practitioner Osteopathic Physician 12578 10/26/2026
WILLIAMS, DAVID ELDON Supervising Prescribing Practitioner Medical Doctor 121710 10/26/2026
WILLIS, SCOTT MD Supervising Prescribing Practitioner Medical Doctor 87703 10/26/2026
WILSON, HOLLY Supervising Prescribing Practitioner Medical Doctor 98782 10/26/2026
WIRTA-CLARKE, YVETTE ANNE DO Supervising Prescribing Practitioner Osteopathic Physician 8390 10/26/2026
WOOD, DONALD W Supervising Prescribing Practitioner Osteopathic Physician 10447 10/26/2026

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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 10/27/2026



* 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.