License Verification

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CHARLES BERNARD WINDFELDER

License Number: PA9103273

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9103273
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/17/2005
Address of Record
2045 FOUNTAIN PROFESSIONAL CT,
NAVARRE, FL 32566
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
ARBUCKLE, SEAN SR Supervising Prescribing Practitioner Osteopathic Physician 11132 07/17/2019
BERRY, SHANNON GAYLE Supervising Prescribing Practitioner Medical Doctor 152055 06/17/2021
BORUP, MIKEL ELIAS Supervising Prescribing Practitioner Osteopathic Physician 16398 03/11/2020
CRINER, ROGER D JR Supervising Prescribing Practitioner Medical Doctor 114331 06/21/2021
CUPO, WILLIAM WALTER MD Supervising Prescribing Practitioner Medical Doctor 86389 09/14/2022
DUERR, KARL MICHAEL Supervising Prescribing Practitioner Medical Doctor 151983 05/31/2021
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 09/09/2021
GAILMARD, WILLIAM ROBERT Supervising Prescribing Practitioner Medical Doctor 138184 07/17/2019
LATHAM, JOSHUA LUKE DO Supervising Prescribing Practitioner Osteopathic Physician 10027 03/09/2018
LITTMAN, NICHOLAS Supervising Prescribing Practitioner Medical Doctor 151791 10/11/2022
MCNEIL, MEGAN IONE Supervising Prescribing Practitioner Medical Doctor 129689 05/02/2021
MELANCON, ERIC EUGENE Supervising Prescribing Practitioner Medical Doctor 150172 04/12/2021
MULLIS, BARON THAXTON Supervising Prescribing Practitioner Medical Doctor 113789 07/02/2021
NODINE, STEVEN LEE Supervising Prescribing Practitioner Osteopathic Physician 11996 10/28/2016
NOGGLE, TOMMY STEVEN MD Supervising Prescribing Practitioner Medical Doctor 93880 07/29/2021
PATEL, JAIMIN BALWANT M D Supervising Prescribing Practitioner Medical Doctor 104797 10/28/2016
PORTER, JAYCE Supervising Prescribing Practitioner Osteopathic Physician 16341 01/08/2020
RAK, TIMOTHY AARON Supervising Prescribing Practitioner Medical Doctor 83486 03/11/2020
RASIWALA, AZIMA Supervising Prescribing Practitioner Osteopathic Physician 18254 01/03/2022
REVILLA, RICARDO ARSENIO Supervising Prescribing Practitioner Medical Doctor 106166 03/11/2020
THOMPSON, TOMMY GLEN II Supervising Prescribing Practitioner Medical Doctor 128635 07/25/2017
WEST, KERRI ELESE Supervising Prescribing Practitioner Osteopathic Physician 18404 10/20/2021

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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.