License Verification

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MARK STEPHEN MCINTOSH

License Number: ME89160

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME89160
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
11/17/2003
Address of Record
DEPT OF EMERGENCY MEDICINE
655 WEST EIGHTH STREET
JACKSONVILLE, FL 32209
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
ALEMAN-BERMUDEZ, JAIME J Supervisor Medical Doctor 49940 03/01/2018
ALONSO, LEONARDO LAZARO Supervisor Osteopathic Physician 6584 03/01/2018
ATTLESEY, MARK GRAHAM Supervisor Medical Doctor 71653 03/01/2018
BHANJI, WYLENE NOLAN Supervisor Osteopathic Physician 9034 03/01/2018
BLAKE, STEVEN MITCHELL M D Supervisor Medical Doctor 58519 03/01/2018
CHAPMAN, JENNIFER COLES Supervisor Medical Doctor 125751 03/01/2018
CHEANVECHAI, DAYCHA Supervisor Medical Doctor 76415 03/01/2018
CHRISTEN, NEIL LEONARD Supervisor Medical Doctor 129370 03/01/2018
DAVIS, DAVID RICHARD Supervisor Medical Doctor 96442 03/01/2018
DYESS, KELLY LANE Supervisor Osteopathic Physician 9198 03/01/2018
EUWEMA, MICHAEL SCOTT Supervisor Medical Doctor 91648 03/01/2018
FORSTER, JOHN GEORGE III Supervisor Medical Doctor 69993 03/01/2018
FRALEY, PAUL RICHARD Supervisor Medical Doctor 134133 03/01/2018
GRIGSBY, ROBERT LEE III Supervisor Medical Doctor 34609 03/01/2018
GYARMATHY, RAYMOND HOWARD Supervisor Medical Doctor 53513 03/01/2018
HAYES, JAMES D JR Supervisor Medical Doctor 42140 03/01/2018
HUMPHRIES, JERRY FRANKLIN JR Supervisor Medical Doctor 112733 03/01/2018
JENKINS, FREDERICK LUCAS Supervisor Medical Doctor 83245 03/01/2018
JOHNSON, JENNIFER BURKE Supervisor Medical Doctor 115159 03/01/2018
KING, KENNETH Supervisor Osteopathic Physician 8648 03/01/2018
KOURY, RONALD FORREST D O Supervisor Osteopathic Physician 8090 03/01/2018
LAMOND, RYAN DANIEL Supervisor Medical Doctor 106090 03/01/2018
MARGERUM, GAIL SHAW Supervisor Medical Doctor 98283 03/01/2018
MATHAI, ALEX Supervisor Medical Doctor 122229 03/01/2018
MENZE, ROGER MICHEEL Supervisor Medical Doctor 68199 03/01/2018
OLIVER, RADAMES ALBERTO Supervisor Medical Doctor 67906 03/01/2018
ROSEL, GEORGANNA MICHELLE Supervisor Medical Doctor 134082 03/01/2018
SEROTOFF, MICHAEL Supervisor Medical Doctor 134259 03/01/2018
SLOTT, EDWIN FREDERICK Supervisor Medical Doctor 120515 03/01/2018

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Name Relationship Profession License Effective Date
ANDREWS, ADRIAN ANTHONY Prescribing Physician Assistant Physician Assistant 9103249 4/24/2020
GABY, CHRISTINA Prescribing Physician Assistant Physician Assistant 9107129 5/14/2018
GAVLIK, MORGAN PAIGE Prescribing Physician Assistant Physician Assistant 9110306 8/14/2020
JARAMILLO, DAVID HERNANDO Prescribing Physician Assistant Medical Doctor 96063 8/20/2020
JARAMILLO, DAVID HERNANDO Subordinate Medical Doctor 96063 8/17/2020
KERZHNER, EDUARD Prescribing Physician Assistant Physician Assistant 9111996 2/20/2020
LAMBERT, CAITLYN Prescribing Physician Assistant Physician Assistant 9109920 5/22/2017
MARTINEZ, TAMMY PRUITT Prescribing Physician Assistant Physician Assistant 9110936 3/12/2018
NGUYEN, MICHAEL TUAN Prescribing Physician Assistant Physician Assistant 9107834 5/4/2017
RIOS, LUIS ERNESTO JR Prescribing Physician Assistant Medical Doctor 55184 7/16/2018
SKERBETZ, RYAN Prescribing Physician Assistant Physician Assistant 9109942 1/15/2019
SPEED DIERSING, ELIZABETH ANNE Prescribing Physician Assistant Physician Assistant 9104503 12/15/2020
WILSON, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9107414 12/28/2015

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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.