License Verification
MALLORY MOODY PUTNAM
License Number: PA9106745
Data As Of 9/7/2026
No secondary locations found.
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| ABRAHAMSEN, NADIA | Supervising Prescribing Practitioner | Medical Doctor | 108847 | 02/21/2018 |
| AKKASHIAN, MICHAEL BERNARD | Supervising Prescribing Practitioner | Medical Doctor | 113464 | 01/08/2016 |
| ALEXANDER, LARRY LEON | Supervising Prescribing Practitioner | Medical Doctor | 80072 | 07/24/2026 |
| ALFONSO, ADALBERTO JR | Supervising Prescribing Practitioner | Medical Doctor | 122516 | 01/08/2016 |
| AMATEA, JOHN M | Supervising Prescribing Practitioner | Medical Doctor | 111903 | 01/08/2016 |
| ANCHETA, JOEY SALDANA | Supervising Prescribing Practitioner | Medical Doctor | 72598 | 07/05/2017 |
| ANDERSON, JONATHAN OSBORNE | Supervising Prescribing Practitioner | Medical Doctor | 111888 | 01/08/2016 |
| ANILUS, VESTA | Supervising Prescribing Practitioner | Medical Doctor | 127023 | 07/09/2026 |
| AREGOOD, JENNIFER JOY | Supervising Prescribing Practitioner | Medical Doctor | 116318 | 02/01/2016 |
| ARREDONDO, COREY CUMBIE | Supervising Prescribing Practitioner | Medical Doctor | 85016 | 01/08/2016 |
| BARLOW, RYAN THOMAS | Supervising Prescribing Practitioner | Medical Doctor | 149752 | 07/13/2026 |
| BATTISTINI-CHRISTIAN, JOSE FRANCISCO | Supervising Prescribing Practitioner | Medical Doctor | 147500 | 07/10/2026 |
| BEACH, KEVIN RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 107000 | 01/08/2016 |
| BERMAN, RONALD | Supervising Prescribing Practitioner | Medical Doctor | 79188 | 07/14/2026 |
| BHISITKUL, DONNA MARIE | Supervising Prescribing Practitioner | Medical Doctor | 70258 | 01/08/2016 |
| BLIND, FRED JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 99282 | 01/08/2016 |
| BRAR, SARDUL SINGH MD | Supervising Prescribing Practitioner | Medical Doctor | 48371 | 01/08/2016 |
| BRENNER, ANNETTE MAGNANT | Supervising Prescribing Practitioner | Medical Doctor | 70818 | 02/21/2020 |
| BROWN, RICHARD | Supervising Prescribing Practitioner | Medical Doctor | 132286 | 09/14/2017 |
| BURKEY, MARISA LIANA | Supervising Prescribing Practitioner | Medical Doctor | 106073 | 01/08/2016 |
| BUTZ, ABRAHAM F | Supervising Prescribing Practitioner | Medical Doctor | 102668 | 01/08/2016 |
| CARMAN, MATTHEW WILLIAM | Supervising Prescribing Practitioner | Medical Doctor | 99548 | 01/08/2016 |
| CHUNG, CHARLES R | Supervising Prescribing Practitioner | Medical Doctor | 99441 | 01/08/2016 |
| COKER, PHILLIP RYAN | Supervising Prescribing Practitioner | Medical Doctor | 122260 | 01/08/2016 |
| COVITZ, SHANNON MIXON | Supervising Prescribing Practitioner | Osteopathic Physician | 11652 | 02/21/2020 |
| CUNNINGHAM, MICHAEL F | Supervising Prescribing Practitioner | Osteopathic Physician | 14869 | 07/14/2026 |
| DAMON, MARK R II | Supervising Prescribing Practitioner | Osteopathic Physician | 21081 | 07/14/2026 |
| DE LOS SANTOS, JESSE | Supervising Prescribing Practitioner | Medical Doctor | 112913 | 01/08/2016 |
| DEL VALLE, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 179107 | 07/23/2026 |
| DELEON, JASON | Supervising Prescribing Practitioner | Medical Doctor | 122537 | 02/12/2019 |
| DUBEY, JESSE VINCENT | Supervising Prescribing Practitioner | Osteopathic Physician | 13099 | 09/01/2018 |
| ECHAGUE COLMAN, RAMON ANTONIO | Supervising Prescribing Practitioner | Medical Doctor | 111476 | 07/20/2026 |
| ESCOWITZ, HAL ETHAN | Supervising Prescribing Practitioner | Medical Doctor | 81690 | 01/08/2016 |
| FAWSETT, CHARLES ROBINSON II | Supervising Prescribing Practitioner | Medical Doctor | 112904 | 01/08/2016 |
| FERNANDEZ FERNANDEZ, JUAN RAFAEL | Supervising Prescribing Practitioner | Medical Doctor | 127278 | 07/10/2026 |
| FERNANDEZ OLIVERO, GERARDO ANDRES | Supervising Prescribing Practitioner | Medical Doctor | 139063 | 07/09/2026 |
| FISHER, ROSE MARIE | Supervising Prescribing Practitioner | Osteopathic Physician | 6698 | 01/08/2016 |
| GILLESPIE, RITA MARGARET MARY | Supervising Prescribing Practitioner | Osteopathic Physician | 13077 | 02/12/2019 |
| GLUECK, JESSE | Supervising Prescribing Practitioner | Medical Doctor | 136392 | 08/09/2020 |
| GONZALEZ-QUINTERO, ANDREA R | Supervising Prescribing Practitioner | Medical Doctor | 141613 | 07/10/2026 |
| GUGGINO, STEVEN ANTHONY MD | Supervising Prescribing Practitioner | Medical Doctor | 83061 | 01/08/2016 |
| HABER, TODD SETH | Supervising Prescribing Practitioner | Medical Doctor | 57935 | 01/08/2016 |
| HADDAD, JOE D O | Supervising Prescribing Practitioner | Osteopathic Physician | 15867 | 07/14/2026 |
| HEAD, BRIAN CHRISTOPHER | Supervising Prescribing Practitioner | Medical Doctor | 122748 | 01/08/2016 |
| JOHN, TESHY VARUGHESE | Supervising Prescribing Practitioner | Medical Doctor | 125364 | 01/11/2019 |
| KARP, JULIANA | Supervising Prescribing Practitioner | Medical Doctor | 64823 | 01/08/2016 |
| KOVALA, CHAD MICHAEL | Supervising Prescribing Practitioner | Osteopathic Physician | 22388 | 07/14/2026 |
| LALANI, FARAH NAUSHIR | Supervising Prescribing Practitioner | Osteopathic Physician | 10814 | 01/08/2016 |
| LASSETER CARMAN, MEGAN LEIGH MD | Supervising Prescribing Practitioner | Medical Doctor | 109910 | 01/08/2016 |
| LINDENBLAD, ERIC HAMILTON | Supervising Prescribing Practitioner | Medical Doctor | 43429 | 01/08/2016 |
| LONGO, JENNIFER ANN | Supervising Prescribing Practitioner | Medical Doctor | 113332 | 11/04/2019 |
| MAHON, BENJAMIN MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 114305 | 07/13/2026 |
| MARICHAL, JOSE L MD | Supervising Prescribing Practitioner | Medical Doctor | 21830 | 01/08/2016 |
| MARTINEZ, JORDAN | Supervising Prescribing Practitioner | Medical Doctor | 168592 | 07/10/2026 |
| MARTINEZ, LORENA RODRIGUEZ | Supervising Prescribing Practitioner | Osteopathic Physician | 21064 | 07/23/2026 |
| MCFARLAND, MICHAEL SCOTT | Supervising Prescribing Practitioner | Medical Doctor | 99023 | 01/08/2016 |
| MCGLINN, SEAN PATRICK D O | Supervising Prescribing Practitioner | Osteopathic Physician | 9846 | 01/08/2016 |
| MCKEE, KRISTIN CORY | Supervising Prescribing Practitioner | Osteopathic Physician | 12083 | 01/08/2016 |
| MELTON, JAMES DAVID III | Supervising Prescribing Practitioner | Medical Doctor | 52100 | 01/08/2016 |
| MEMON, SUMERA HAROON | Supervising Prescribing Practitioner | Osteopathic Physician | 11668 | 07/19/2018 |
| MIAH, BAHAR | Supervising Prescribing Practitioner | Medical Doctor | 108183 | 07/10/2026 |
| MISDARY, JOHN SARATIAL MD | Supervising Prescribing Practitioner | Medical Doctor | 111957 | 06/28/2018 |
| OLDANO, KAREN THOMAS | Supervising Prescribing Practitioner | Osteopathic Physician | 6570 | 01/08/2016 |
| OLSON, CHRISTOPHER EARL | Supervising Prescribing Practitioner | Medical Doctor | 91253 | 01/08/2016 |
| PALMA, ALEXANDER | Supervising Prescribing Practitioner | Medical Doctor | 116475 | 07/09/2026 |
| PATEL, TEJAS | Supervising Prescribing Practitioner | Osteopathic Physician | 13790 | 04/19/2019 |
| PAYOR, AUSTIN DANIEL | Supervising Prescribing Practitioner | Osteopathic Physician | 10925 | 04/14/2020 |
| PRUITT, JAMES ALLEN | Supervising Prescribing Practitioner | Medical Doctor | 142076 | 07/14/2026 |
| PYLE, JACK ROBERT | Supervising Prescribing Practitioner | Medical Doctor | 181541 | 07/17/2026 |
| REDDEN, DANYELLE ANN | Supervising Prescribing Practitioner | Medical Doctor | 110215 | 01/08/2016 |
| REEBER, CLIFF BENJAMIN | Supervising Prescribing Practitioner | Medical Doctor | 73869 | 01/08/2016 |
| REGAN, TIMOTHY JOHN | Supervising Prescribing Practitioner | Medical Doctor | 94162 | 01/08/2016 |
| REINHARDT, NEIL CHRISTOPHER | Supervising Prescribing Practitioner | Medical Doctor | 69496 | 11/04/2019 |
| RHODES, DAVID JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 106826 | 01/08/2016 |
| RODGERS, CHRISTOPHER NEILTON MD | Supervising Prescribing Practitioner | Medical Doctor | 99231 | 01/08/2016 |
| RODRIGUEZ, VASHUN APONTE | Supervising Prescribing Practitioner | Medical Doctor | 104068 | 01/08/2016 |
| ROLA, ALEXANDER | Supervising Prescribing Practitioner | Osteopathic Physician | 8833 | 01/08/2016 |
| RONDON, JUAN DIEGO | Supervising Prescribing Practitioner | Medical Doctor | 155174 | 07/10/2026 |
| ROWE, IAN RUSSELL | Supervising Prescribing Practitioner | Medical Doctor | 112301 | 07/13/2026 |
| SALAZAR, MANUEL MAURICIO | Supervising Prescribing Practitioner | Medical Doctor | 36859 | 01/08/2016 |
| SANTIAGO, RAFAEL | Supervising Prescribing Practitioner | Medical Doctor | 90335 | 01/08/2016 |
| SCHILLINGER, MATTHEW | Supervising Prescribing Practitioner | Osteopathic Physician | 9191 | 01/08/2016 |
| SELLERS, KATHERINE | Supervising Prescribing Practitioner | Osteopathic Physician | 21108 | 07/13/2026 |
| SMITH, DAVID JAMES | Supervising Prescribing Practitioner | Osteopathic Physician | 9167 | 01/08/2016 |
| SPENCER, ANDREW JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 122767 | 04/19/2019 |
| SUEN, ANDREA CATHERINE | Supervising Prescribing Practitioner | Medical Doctor | 116964 | 01/11/2019 |
| TAVORNWATTANA, JAMES | Supervising Prescribing Practitioner | Medical Doctor | 156675 | 07/09/2026 |
| TICKETT, SHELLEY SMITH | Supervising Prescribing Practitioner | Medical Doctor | 90313 | 02/21/2017 |
| TSEKHANOV, SERGEY | Supervising Prescribing Practitioner | Osteopathic Physician | 11851 | 07/15/2026 |
| VERGARA, ROBERT JOHN CRUZ | Supervising Prescribing Practitioner | Medical Doctor | 95775 | 07/13/2026 |
| VISRAM, FARID NIZARALI | Supervising Prescribing Practitioner | Medical Doctor | 95308 | 01/08/2016 |
| VU, CHRISTOPHER HUY | Supervising Prescribing Practitioner | Medical Doctor | 109654 | 01/08/2016 |
| VYTYKAC, ADAM | Supervising Prescribing Practitioner | Medical Doctor | 115497 | 07/19/2018 |
| WAN, ERIC KUO HSUAN | Supervising Prescribing Practitioner | Medical Doctor | 92490 | 01/08/2016 |
| WASHINGTON, MOSES ANTHONY | Supervising Prescribing Practitioner | Medical Doctor | 131007 | 07/12/2026 |
| WEBSTER, MAUREEN MICHELLE | Supervising Prescribing Practitioner | Medical Doctor | 76488 | 01/08/2016 |
| WEEKS, SCOTT ROBERT | Supervising Prescribing Practitioner | Osteopathic Physician | 8388 | 01/08/2016 |
| WISER, ROBERT K | Supervising Prescribing Practitioner | Medical Doctor | 139864 | 02/21/2020 |
| YICK, ANDREW VAN | Supervising Prescribing Practitioner | Medical Doctor | 109669 | 01/08/2016 |
| ZACHARIAH, ANISH BABU M D | Supervising Prescribing Practitioner | Medical Doctor | 101413 | 11/04/2019 |
Click on the License Number to view License Details for that Practitioner
| Name | Relationship | Profession | License | Effective Date |
|---|
Click on the License Number to view License Details for that Practitioner
| 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 9/7/2026
* 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.
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.