License Verification

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WARREN UMANDAP EVERETT

License Number: PA9105831

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9105831
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/10/2010
Address of Record
151 E Redstone Avenue
CRESTVIEW, FL 32539
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
BERRY, SHANNON GAYLE Supervising Prescribing Practitioner Medical Doctor 152055 06/17/2021
BORUP, MIKEL ELIAS Supervising Prescribing Practitioner Osteopathic Physician 16398 07/28/2021
COOK, DARREN LEE Supervising Prescribing Practitioner Osteopathic Physician 5856 07/28/2021
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 07/28/2021
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 09/09/2021
LATHAM, JOSHUA LUKE DO Supervising Prescribing Practitioner Osteopathic Physician 10027 07/28/2021
LITTMAN, NICHOLAS Supervising Prescribing Practitioner Medical Doctor 151791 10/11/2022
MCNEIL, MEGAN IONE Supervising Prescribing Practitioner Medical Doctor 129689 07/28/2021
MELANCON, ERIC EUGENE Supervising Prescribing Practitioner Medical Doctor 150172 07/28/2021
MULLIS, BARON THAXTON Supervising Prescribing Practitioner Medical Doctor 113789 09/17/2021
NOGGLE, TOMMY STEVEN MD Supervising Prescribing Practitioner Medical Doctor 93880 07/02/2021
OWEN, STEPHANIE LEANN Supervising Prescribing Practitioner Medical Doctor 127333 07/28/2021
PORTER, JAYCE Supervising Prescribing Practitioner Osteopathic Physician 16341 07/28/2021
RASIWALA, AZIMA Supervising Prescribing Practitioner Osteopathic Physician 18254 01/03/2022
THOMPSON, TOMMY GLEN II Supervising Prescribing Practitioner Medical Doctor 128635 07/28/2021
WEST, KERRI ELESE Supervising Prescribing Practitioner Osteopathic Physician 18404 10/20/2021
WESTBROOK, JAMES WESLEY Supervising Prescribing Practitioner Medical Doctor 146630 07/28/2021

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Name Relationship Profession License Effective Date
SIMMONS, LEONARD WILLIAM Prescribing Physician Assistant Physician Assistant 9103209 7/29/2021

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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.