License Verification

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THOMAS MATTHEW PARK

License Number: ME85708

Data As Of 12/3/2024

Profession
Medical Doctor
License
ME85708
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
08/12/2002
Address of Record
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL 32308
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2605 WELAUNEE BLVD.
TALLAHASSEE, FL 32308
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
DOUGLAS, REBECCA KAITLIN Dispensing Physician Assistant Physician Assistant 9116143 5/23/2024
DOUGLAS, REBECCA KAITLIN Prescribing Physician Assistant Physician Assistant 9116143 8/2/2022
ENGLE, DANNY R Prescribing Physician Assistant Physician Assistant 9102815 3/24/2017
FONTENOT, MELISSA ANNETTE Prescribing Physician Assistant Physician Assistant 9104437 10/18/2016

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 12/3/2024



* 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.