License Verification

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KEVIN CHARLES EATON

License Number: PA9105961

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9105961
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/13/2011
Address of Record
12902 MAGNOLIA DRIVE
MOFFITT CANCER CENTER
TAMPA, FL 33612
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
AFIAT, THANH-PHUONG NGUYEN Supervising Prescribing Practitioner Medical Doctor 138585 12/01/2022
BATRA, RISHU Supervising Prescribing Practitioner Osteopathic Physician 21474 10/15/2024
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 08/31/2022
BISHAWI, MARAM MOUSA Supervising Prescribing Practitioner Osteopathic Physician 17004 09/01/2022
BLACK, GREGORY Supervising Prescribing Practitioner Medical Doctor 155775 07/18/2022
CHAN, ADDISON CHI-KIT Supervising Prescribing Practitioner Osteopathic Physician 16884 11/22/2021
CHEN, XANDUS Supervising Prescribing Practitioner Osteopathic Physician 13064 11/11/2021
COLIBAO, LOTIFFA Supervising Prescribing Practitioner Medical Doctor 155135 05/16/2022
GEORGE, STEPHEN NEIL Supervising Prescribing Practitioner Osteopathic Physician 11057 11/11/2021
GERO, NICOLE MARIE Supervising Prescribing Practitioner Medical Doctor 114927 11/15/2021
GOLD, JAKE ROBERT Supervising Prescribing Practitioner Medical Doctor 154913 07/18/2022
HAYNES, ELIZABETH JOY MD Supervising Dispensing Practitioner Medical Doctor 118397 03/03/2020
HAYNES, ELIZABETH JOY MD Supervising Prescribing Practitioner Medical Doctor 118397 03/03/2020
HECKROTH, MATTHEW ALEXANDER Supervising Prescribing Practitioner Medical Doctor 161079 07/08/2024
HEMBREE, TIMOTHY NELSON Supervising Dispensing Practitioner Osteopathic Physician 12077 03/03/2020
HEMBREE, TIMOTHY NELSON Supervising Prescribing Practitioner Osteopathic Physician 12077 03/03/2020
HOLMSTROM, BJORN Supervising Dispensing Practitioner Medical Doctor 91170 03/03/2020
HOLMSTROM, BJORN Supervising Prescribing Practitioner Medical Doctor 91170 03/03/2020
JADID, HASSAN Supervising Dispensing Practitioner Medical Doctor 129422 03/03/2020
JADID, HASSAN Supervising Prescribing Practitioner Medical Doctor 129422 06/27/2017
JALALI, SAMUEL Supervising Prescribing Practitioner Medical Doctor 143719 11/11/2021
JEONG, KATHERINE Supervising Dispensing Practitioner Medical Doctor 121033 03/03/2020
JEONG, KATHERINE Supervising Prescribing Practitioner Medical Doctor 121033 03/03/2020
KEILMAN, CLINTON GABRIEL Supervising Prescribing Practitioner Medical Doctor 128366 11/11/2021
KHURANA, SONALI Supervising Prescribing Practitioner Medical Doctor 156406 08/29/2022
KLINKOVA, OLGA Supervising Dispensing Practitioner Medical Doctor 120307 03/03/2020
LEDBETTER, MARK Supervising Prescribing Practitioner Medical Doctor 150322 11/02/2021
LOUREIRO, RODOLFO DE PAULA Supervising Prescribing Practitioner Medical Doctor 143147 11/12/2021
LYONS, LANCE BRADFORD Supervising Prescribing Practitioner Physician Assistant 9105357 11/15/2021
MUSGRAVE, IAN KHRISTOFFER Supervising Prescribing Practitioner Medical Doctor 110650 10/24/2022
NGUYEN, THU-CUC Supervising Dispensing Practitioner Medical Doctor 133686 03/03/2020
NGUYEN, THU-CUC Supervising Prescribing Practitioner Medical Doctor 133686 03/03/2020
OTT, PAUL CARL Supervising Prescribing Practitioner Osteopathic Physician 18168 10/25/2021
PARTEE, YAKISHA Supervising Prescribing Practitioner Medical Doctor 135077 11/01/2021
PISKLAKOVA, ALEXANDRA Supervising Prescribing Practitioner Osteopathic Physician 18607 02/23/2023
RAMSAKAL, ASHA Supervising Dispensing Practitioner Osteopathic Physician 7793 03/03/2020
RAMSAKAL, ASHA Supervising Prescribing Practitioner Osteopathic Physician 7793 02/05/2018
ROSADO-ACEVEDO, YILMARIE Supervising Prescribing Practitioner Medical Doctor 144547 10/17/2022
SCHOENFELD, DAVID LAYTON Supervising Prescribing Practitioner Medical Doctor 155987 08/29/2023
SHARIFF, BUSHRA FATHIMA Supervising Prescribing Practitioner Osteopathic Physician 19696 07/10/2023
SOBKY, CHRISTIAN NADER Supervising Prescribing Practitioner Medical Doctor 132030 11/11/2021
STEPMAN, GAUTHIER LUC Supervising Prescribing Practitioner Medical Doctor 153971 06/08/2023
SYED, MISBAHUDDIN Supervising Dispensing Practitioner Medical Doctor 128558 03/03/2020
SYED, MISBAHUDDIN Supervising Prescribing Practitioner Medical Doctor 128558 03/03/2020
THUROW, CHANTELLE LANEE Supervising Prescribing Practitioner Osteopathic Physician 11505 09/15/2022
UCHE, CHUKWUDUMEBI SANDRA Supervising Prescribing Practitioner Osteopathic Physician 20786 07/03/2024
VERMA, NEHA Supervising Prescribing Practitioner Medical Doctor 128361 05/03/2018
VINCENT, DEANNA HORST Supervising Prescribing Practitioner Medical Doctor 153254 09/30/2022
WAHBA, MELISSA MARIE Supervising Prescribing Practitioner Medical Doctor 108128 11/12/2021
WALSH, MEAGAN Supervising Prescribing Practitioner Osteopathic Physician 15982 11/22/2021
WASEF, DAVID Supervising Prescribing Practitioner Medical Doctor 169295 09/24/2024
WESOLOW, JACQUELINE TANYA Supervising Dispensing Practitioner Osteopathic Physician 12792 03/03/2020
WESOLOW, JACQUELINE TANYA Supervising Prescribing Practitioner Osteopathic Physician 12792 05/23/2016
WINKLER, ADAM GRAYSON Supervising Prescribing Practitioner Medical Doctor 130793 03/16/2022
YASUKAWA, KOSUKE Supervising Prescribing Practitioner Medical Doctor 157344 10/24/2022
YOUNG, JACQUELINE Supervising Prescribing Practitioner Medical Doctor 132702 08/26/2024

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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.