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ANDREA MICHELLE CHAPUT

License Number: PA9105370

Data As Of 10/27/2026

Profession
Physician Assistant
License
PA9105370
License Status
Clear/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2028
License Original Issue Date
01/21/2010
Address of Record
1000 Mar Walt Dr
FT WALTON BEACH, FL 32547
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
700 W Oak Street
KISSIMMEE, FL 34741
Name Relationship Profession License Effective Date
ADAM, GULEID M D Supervising Prescribing Practitioner Medical Doctor 110701 10/20/2026
ALATRISTE, ANTHONY Supervising Prescribing Practitioner Medical Doctor 70004 10/20/2026
ALEXANDER, LARRY LEON Supervising Prescribing Practitioner Medical Doctor 80072 10/20/2026
ARCHIBALD, SANDRA KAYE Supervising Prescribing Practitioner Medical Doctor 104271 10/20/2026
ARRIAGA-ONEILL, YARITZA MD Supervising Prescribing Practitioner Medical Doctor 111529 10/20/2026
BAKER, DONALD JAMES Supervising Prescribing Practitioner Medical Doctor 36388 10/20/2026
BARRON, SCOTT ALAN Supervising Prescribing Practitioner Medical Doctor 107217 10/20/2026
BATMANIS, PAUL STRATO MD Supervising Prescribing Practitioner Medical Doctor 96038 10/20/2026
BELL, TODD DWAYNE Supervising Prescribing Practitioner Medical Doctor 138278 10/20/2026
BERGMAN, JEFFERY JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 11615 10/20/2026
BERK, STUART P Supervising Prescribing Practitioner Medical Doctor 51149 10/20/2026
BERMAN, RONALD Supervising Prescribing Practitioner Medical Doctor 79188 10/20/2026
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 10/20/2026
BLAKE, FITZ ALBERT JR Supervising Prescribing Practitioner Medical Doctor 115973 10/20/2026
BURGOS, STEPHANIE ELIZABETH Supervising Prescribing Practitioner Medical Doctor 125094 10/20/2026
BURKE, TIMOTHY MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 9830 10/20/2026
CABRERA, ROLANDO GABRIEL Supervising Prescribing Practitioner Osteopathic Physician 16178 10/20/2026
CAMBO, JORGE LUIS Supervising Prescribing Practitioner Medical Doctor 48428 10/20/2026
CARINO, CHARLES INCOGNITO Supervising Prescribing Practitioner Osteopathic Physician 12427 10/20/2026
CARTER, INGRID Supervising Prescribing Practitioner Osteopathic Physician 9824 10/20/2026
CHANLATTE-ITHIER, MARINO Supervising Prescribing Practitioner Medical Doctor 117097 10/20/2026
CHANMUGAM, JAY CROSSETTE Supervising Prescribing Practitioner Osteopathic Physician 8600 10/20/2026
CHARFEN, CHARLOTTE NEWMAN Supervising Prescribing Practitioner Medical Doctor 97458 10/20/2026
COLEMAN, ANDREW JOHN M D Supervising Prescribing Practitioner Medical Doctor 97511 10/20/2026
COLLINS, GARRICK DO Supervising Prescribing Practitioner Osteopathic Physician 15039 10/20/2026
COLON CRUZ, EDDID DAVID Supervising Prescribing Practitioner Medical Doctor 120690 10/20/2026
CONBOY, JOHN WESCOTT Supervising Prescribing Practitioner Medical Doctor 76815 10/20/2026
CONDONO, ELAINE SUSANNE Supervising Prescribing Practitioner Osteopathic Physician 11752 10/20/2026
COUSSA, MICHAEL LEON Supervising Prescribing Practitioner Medical Doctor 100728 10/20/2026
DAPHTARY, UDAY DILIP Supervising Prescribing Practitioner Medical Doctor 62693 10/20/2026
DE LA ROZA, MELISSA E M D Supervising Prescribing Practitioner Medical Doctor 105602 10/20/2026
DEANGELIS, CHRISTINA SUSI Supervising Prescribing Practitioner Osteopathic Physician 11556 10/20/2026
DIAZ, VANESSA IOVANNA Supervising Prescribing Practitioner Medical Doctor 81889 10/20/2026
DRAVIAM, SAMEER P Supervising Prescribing Practitioner Medical Doctor 116541 10/20/2026
DREYFUSS, LAURENT RENE Supervising Prescribing Practitioner Osteopathic Physician 9539 10/20/2026
DUB, LARISSA O Supervising Prescribing Practitioner Medical Doctor 118816 10/20/2026
DUMITRU, JON KENNETH Supervising Prescribing Practitioner Medical Doctor 110005 10/20/2026
DURST, DEBRA RENEE Supervising Prescribing Practitioner Medical Doctor 76169 10/20/2026
EAVES, CHARLES CURRY Supervising Prescribing Practitioner Osteopathic Physician 14631 10/20/2026
EVERS, NATALIE MARIE Supervising Prescribing Practitioner Medical Doctor 89128 10/20/2026
FAWSETT, CHARLES ROBINSON II Supervising Prescribing Practitioner Medical Doctor 112904 10/20/2026
FROMM, BRIAN SCOTT Supervising Prescribing Practitioner Medical Doctor 139508 10/20/2026
GADALEAN, CHRISTINA ANN Supervising Prescribing Practitioner Osteopathic Physician 12344 10/20/2026
GANTI, LATHA MD Supervising Prescribing Practitioner Medical Doctor 107260 10/20/2026
GOLDSMITH, JAMILA DANICE Supervising Prescribing Practitioner Medical Doctor 129079 10/20/2026
GOODMAN, GARY ALLEN Supervising Prescribing Practitioner Medical Doctor 95652 10/20/2026
GOZAR, JOHN ALVIN MD Supervising Prescribing Practitioner Medical Doctor 91258 10/20/2026
HAMILTON, CARLTON CARMICHAEL II Supervising Prescribing Practitioner Medical Doctor 87840 10/20/2026
HARBOUR, DAVID MARK Supervising Prescribing Practitioner Osteopathic Physician 8124 10/20/2026
HARTFELDER, BRIAN SCOTT Supervising Prescribing Practitioner Medical Doctor 132201 10/20/2026
HASH, DAVID HARMON Supervising Prescribing Practitioner Medical Doctor 84745 10/20/2026
HAWS, KIRBY W DO Supervising Prescribing Practitioner Osteopathic Physician 5101 10/20/2026
HEADLEY, TRAVIS AARON Supervising Prescribing Practitioner Medical Doctor 112510 10/20/2026
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 08/12/2020
HESSION, RORY ORLANT Supervising Prescribing Practitioner Medical Doctor 87577 10/20/2026
JARA, FERNANDO A Supervising Prescribing Practitioner Medical Doctor 83556 10/20/2026
JASIMUDDIN, SHEIKH KHWAJA Supervising Prescribing Practitioner Medical Doctor 100463 10/20/2026
JOHNSON, STEPHANIE MARGARET Supervising Prescribing Practitioner Osteopathic Physician 10696 10/20/2026
KARKAVANDIAN, HABIB HASHEMI Supervising Prescribing Practitioner Osteopathic Physician 8158 10/20/2026
KNIGGE, KEITH A Supervising Prescribing Practitioner Osteopathic Physician 15734 10/20/2026
LAMBIE, DAVID SCOTT SR Supervising Prescribing Practitioner Osteopathic Physician 11824 10/20/2026
LAMBIE, NATALIE DAWN Supervising Prescribing Practitioner Osteopathic Physician 11732 10/20/2026
LANE, DAVID RANDOLPH Supervising Prescribing Practitioner Medical Doctor 138099 10/20/2026
LAVENE, DANIEL CARL M D Supervising Prescribing Practitioner Medical Doctor 63148 10/20/2026
LEGALL, INGRID Supervising Prescribing Practitioner Medical Doctor 78455 10/20/2026
LORD-STRULOVIC, KIMBERLY BETH Supervising Prescribing Practitioner Medical Doctor 91439 10/20/2026
MACINTOSH, TRACY Supervising Prescribing Practitioner Medical Doctor 119255 10/20/2026
MACK, RENE Supervising Prescribing Practitioner Medical Doctor 109249 10/20/2026
MAHON, BENJAMIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 114305 10/20/2026
MELONI, MICHAEL ANTHONY JR Supervising Prescribing Practitioner Medical Doctor 30755 10/20/2026
MICHAEL, ALBERT MAWAD Supervising Prescribing Practitioner Medical Doctor 108947 10/20/2026
MIKNAITIS, REBECCA ABIGAIL DO Supervising Prescribing Practitioner Osteopathic Physician 11417 10/20/2026
MISDARY, JOHN SARATIAL MD Supervising Prescribing Practitioner Medical Doctor 111957 10/20/2026
MITCHELL, CRAIG ROBERT MD Supervising Prescribing Practitioner Medical Doctor 102920 10/20/2026
MITCHELL, STEPHEN MARK Supervising Prescribing Practitioner Osteopathic Physician 8846 10/20/2026
MOHAMMED, RICHARD SHAMEED MD Supervising Prescribing Practitioner Medical Doctor 64855 10/20/2026
MONTOYA, DENNIS Supervising Prescribing Practitioner Medical Doctor 113199 10/20/2026
MURRAY, JOHN V Supervising Prescribing Practitioner Medical Doctor 41311 10/20/2026
NORTON, VICKI DIANA Supervising Prescribing Practitioner Medical Doctor 107290 10/20/2026
PARADIS, KRISTYNA D Supervising Prescribing Practitioner Osteopathic Physician 8737 10/20/2026
PATTON, RANJINI VERNUGOPAL Supervising Prescribing Practitioner Medical Doctor 96986 10/20/2026
PAZO, ADNER Supervising Prescribing Practitioner Medical Doctor 110566 10/20/2026
PELLY, AMANDA JANE Supervising Prescribing Practitioner Medical Doctor 125040 10/20/2026
PEREZ, PEDRO ISAAC Supervising Prescribing Practitioner Medical Doctor 83707 10/20/2026
PESCH, THEODOR WALDO M D Supervising Prescribing Practitioner Medical Doctor 137117 10/20/2026
PETRY, FERNANDO Supervising Prescribing Practitioner Osteopathic Physician 9452 10/20/2026
QUINONES, ANINES Supervising Prescribing Practitioner Medical Doctor 101930 10/20/2026
RODRIGUEZ, EDGARDO MD Supervising Prescribing Practitioner Medical Doctor 65647 10/20/2026
ROMERO, MARVIN JESUS Supervising Prescribing Practitioner Osteopathic Physician 12137 10/20/2026
ROSARIO, JAVIER E Supervising Prescribing Practitioner Medical Doctor 119089 10/20/2026
ROWE, IAN RUSSELL Supervising Prescribing Practitioner Medical Doctor 112301 10/20/2026
SALINE, TROY A Supervising Prescribing Practitioner Osteopathic Physician 15836 10/20/2026
SCHNEIDER, ROBERT ALAN Supervising Prescribing Practitioner Medical Doctor 65310 10/20/2026
SCHULTZ, JASON DONALD MD Supervising Prescribing Practitioner Medical Doctor 96405 10/20/2026
SCOTT, CHRISTOPHER JOSEPH Supervising Prescribing Practitioner Medical Doctor 87318 10/20/2026
SINHA, ASOK KUMAR DR Supervising Prescribing Practitioner Medical Doctor 113902 10/20/2026
SMITH, TODD BRIAN Supervising Prescribing Practitioner Medical Doctor 70356 10/20/2026
SNYDER, JAMES ALLEN Supervising Prescribing Practitioner Osteopathic Physician 9812 10/20/2026
STINARD, ALEX D Supervising Prescribing Practitioner Medical Doctor 101744 10/20/2026
TEPPER, EVAN BRETT MD Supervising Prescribing Practitioner Medical Doctor 60190 10/20/2026
TIMOTHEE OLIVERAS, JENNIFER Supervising Prescribing Practitioner Medical Doctor 117234 10/20/2026
TORRES, ANDRES JOSE Supervising Prescribing Practitioner Osteopathic Physician 9371 10/20/2026
USHER, SETH JUSTIN Supervising Prescribing Practitioner Medical Doctor 109446 10/20/2026
VULETICH, MARK ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 8108 10/20/2026
WALKER, AYANNA DANYALE Supervising Prescribing Practitioner Medical Doctor 121053 10/20/2026
WALLEN, MICHELLE FERRER Supervising Prescribing Practitioner Osteopathic Physician 14540 10/20/2026
WARD, FREDERICK CHRISTOPHER M D Supervising Prescribing Practitioner Medical Doctor 85924 10/20/2026
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 10/20/2026
WARREN, WARD RANDALL MD Supervising Prescribing Practitioner Medical Doctor 109750 10/20/2026
WAXLER, JENNIFER LYNN D O Supervising Prescribing Practitioner Osteopathic Physician 12130 10/20/2026
WHITE, HEBRON BANCROFT Supervising Prescribing Practitioner Medical Doctor 111009 10/20/2026
WHITMAN, BRUCE S Supervising Prescribing Practitioner Osteopathic Physician 10562 10/20/2026
WHITNEY, KEYNA JURI Supervising Prescribing Practitioner Medical Doctor 133690 10/20/2026
WILKINSON, JOHN J Supervising Prescribing Practitioner Medical Doctor 131732 10/20/2026
WILSON, DAVID LEON MD Supervising Prescribing Practitioner Medical Doctor 97268 10/20/2026
YOUNG, JAMES ALBERT Supervising Prescribing Practitioner Osteopathic Physician 7670 10/20/2026

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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.


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