License Verification

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GWYNNE HEIDI KOHN

License Number: PA9104130

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9104130
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/03/2007
Address of Record
160 NW 170TH ST.
JACKSON NORTH MEDICAL CENTER
NORTH MIAMI BEACH, FL 33169
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
ACOSTA, OMAR Supervising Prescribing Practitioner Medical Doctor 163331 11/28/2023
AUGUSTIN, AROLD JOSEPH Supervising Prescribing Practitioner Medical Doctor 72155 07/01/2021
AZAR, ISAAC DARIO Supervising Prescribing Practitioner Medical Doctor 138191 07/01/2021
BADACH, SARAH JANE Supervising Prescribing Practitioner Osteopathic Physician 17592 12/09/2021
BEAUPORT, VIKYE Supervising Prescribing Practitioner Medical Doctor 140564 07/01/2021
BOLEY JR, GERALD Supervising Prescribing Practitioner Medical Doctor 155571 06/13/2022
DIXON, SHANTERIA DUAN Supervising Prescribing Practitioner Medical Doctor 139884 02/02/2024
DOWNEY, CHRISTOPHER RICHARD Supervising Prescribing Practitioner Medical Doctor 136424 08/01/2023
DUBENSKY, LAURENCE MICHAEL Supervising Prescribing Practitioner Medical Doctor 125549 07/01/2021
ELSNER, NORBERT J MD Supervising Prescribing Practitioner Medical Doctor 126970 03/24/2020
FARHAT, HASSAN YAHYA Supervising Prescribing Practitioner Medical Doctor 82249 07/01/2021
FLAGGE, JOSEPH JOHN Supervising Prescribing Practitioner Medical Doctor 91728 07/01/2021
GIL, SEBASTIAN Supervising Prescribing Practitioner Medical Doctor 150771 05/15/2022
HAILU, THEODOROS MD Supervising Prescribing Practitioner Medical Doctor 89942 07/01/2021
KHER, PRAVEEN K Supervising Prescribing Practitioner Osteopathic Physician 19338 02/07/2024
KOTENKO, MARIE Supervising Prescribing Practitioner Medical Doctor 146375 06/28/2023
LARKIN, STEPHEN GRANT Supervising Prescribing Practitioner Medical Doctor 46483 07/01/2021
LOMBARDO, JEFFREY Supervising Prescribing Practitioner Medical Doctor 139704 07/01/2021
LOUIS, PAUL M Supervising Prescribing Practitioner Medical Doctor 82510 03/28/2022
MILLER, MICHAEL RAY Supervising Prescribing Practitioner Medical Doctor 129449 07/01/2021
NNADI, CHISOM Supervising Prescribing Practitioner Medical Doctor 166766 06/19/2024
OAKENELL, LOUISA A Supervising Prescribing Practitioner Medical Doctor 106140 02/10/2022
PETRAUSKIS, MICHAEL CHARLES Supervising Prescribing Practitioner Medical Doctor 140123 07/01/2021
POGGI, JOSHUA JOSEPH Supervising Prescribing Practitioner Physician Assistant 9109020 07/01/2021
PREDMORE, TORRI SIMONE Supervising Prescribing Practitioner Physician Assistant 9103632 06/28/2023
ROBINSON, CINDY LIZ Supervising Prescribing Practitioner Physician Assistant 9104267 07/01/2021
ROSE, DAVID Supervising Prescribing Practitioner Osteopathic Physician 14774 07/01/2021
SALEH, NOHA YAZEED Supervising Prescribing Practitioner Physician Assistant 9107021 02/02/2024
SCHEIDT, LAURA MARIE MD Supervising Prescribing Practitioner Medical Doctor 140209 07/01/2021
VELASQUEZ, MELISSA ESTHER Supervising Prescribing Practitioner Medical Doctor 150259 05/18/2022
VIVIANO, ROBERT ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 14359 07/01/2021
WASHINGTON, MOSES ANTHONY Supervising Prescribing Practitioner Medical Doctor 131007 07/01/2021

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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.