Physician Assistant Licenses in Florida

License number
Florida 9108762
Address
1585 S Kembley Ave, Palatine, IL 60067
Category
Health Care
Issued Date
Jun 15, 2015
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 3190
Address
7491 S 6Th Ave, Adelphi, IA 50237
Category
Health Care
Issued Date
Dec 13, 1996
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Type
Physician Assistant
License number
Florida 9100739
Address 2
18781 SW 41St St, Hollywood, FL 33029
1561 S Congress Ave, Delray Beach, FL 33445
Category
Health Care
Issued Date
Jan 13, 1999
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 9101097
Address
103 Ocean Way Dr, Daytona Beach, FL 32127
Category
Health Care
Issued Date
Sep 20, 1999
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 3100
Address 2
PO Box 2197, Crystal River, FL 34423
1014 NW 57Th St, Gainesville, FL 32605
Category
Health Care
Issued Date
Apr 17, 1996
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 9100367
Address
1807 NW 137Th Ave, Hollywood, FL 33024
Category
Health Care
Issued Date
Sep 16, 1998
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Type
Physician Assistant
License number
Florida 9104320
Address
21 Forest Ave, Verona, NJ 07044
Category
Health Care
Issued Date
Aug 29, 2007
Effective Date
Dec 10, 2008
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 9104525
Address
3317 Florida St APT A, Oakland, CA 94602
Category
Health Care
Issued Date
Feb 14, 2008
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9104692
Address
6039 Collins Ave, Miami, FL 33140
Category
Health Care
Issued Date
Aug 12, 2008
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 9108567
Address 2
9805 W Tree Tops Ct, Hollywood, FL 33328
1557 Delford Way, Smyrna, GA 30082
Category
Health Care
Issued Date
Feb 10, 2015
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9103401
Address
2718 22Nd Ave N, Texas City, TX 77590
Category
Health Care
Issued Date
Jul 18, 2005
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 9104769
Address
209 Falcon Dr, Kennett Sq, PA 19348
Category
Health Care
Issued Date
Sep 10, 2008
Effective Date
Jan 27, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9104763
Address
35048 Perch Dr, Zephyrhills, FL 33541
Category
Health Care
Issued Date
Sep 8, 2008
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 2557
Address 2
8094 Mizner Ln, Boca Raton, FL 33433
5601 N Dixie Hwy, Fort Lauderdale, FL 33334
Category
Health Care
Issued Date
Aug 17, 1992
Effective Date
Feb 19, 2000
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 3339
Address
520 Mccormick Rd, Munford, TN 38058
Category
Health Care
Issued Date
May 27, 1997
Effective Date
Jan 9, 2014
Expiration Date
Jan 31, 2014
Type
Physician Assistant
License number
Florida 9105198
Address
1878 E Nine Mile Rd #1108, Pensacola, FL 32505
Category
Health Care
Issued Date
Sep 23, 2009
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 9101916
Address
3955 Pryor Cir, Key West, FL 33040
Category
Health Care
Issued Date
Jan 16, 2002
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 3296
Address
5008 W Dickens Ave, Tampa, FL 33629
Category
Health Care
Issued Date
Feb 10, 1997
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
License number
Florida 9103710
Address 2
2358 El Cerito Ct, Punta Gorda, FL 33950
4161 Tamiami Trl STE 701, Port Charlotte, FL 33952
Category
Health Care
Issued Date
Apr 24, 2006
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 3389
Address
1374 Meadows Blvd, Fort Lauderdale, FL 33327
Category
Health Care
Issued Date
Jul 18, 1997
Effective Date
Jan 29, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9103424
Address 2
3530 Travis St #330, Dallas, TX 75204
2225 Peggy Ln, Garland, TX 75042
Category
Health Care
Issued Date
Aug 15, 2005
Effective Date
Feb 11, 2008
Expiration Date
Jan 31, 2008
Type
Physician Assistant
License number
Florida 9107077
Address
10359 SW 88Th St APT A3, Miami, FL 33176
Category
Health Care
Issued Date
Jan 22, 2013
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 1769
Address
2980 SE 3Rd Ct, Ocala, FL 34474
Category
Health Care
Issued Date
Sep 4, 1987
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 9103738
Address
401 Engamore Ln APT 205, Norwood, MA 02062
Category
Health Care
Issued Date
Jun 6, 2006
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Type
Physician Assistant
License number
Florida 9101037
Address 2
3204 SW 23Rd Ter, Miami, FL 33145
10550 NW 77 Ct Suite #224, Hialeah, FL 33016
Category
Health Care
Issued Date
Jul 27, 1999
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 1546
Address 2
127 SE Cedar Loop SE CEDAR LOOP, Lake City, FL 32025
7765 S Sr 231 BOX 628 (PO), Lulu, FL 32054
Category
Health Care
Issued Date
Apr 28, 1987
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 2497
Address
2861 Bay Dr, North Merrick, NY 11566
Category
Health Care
Issued Date
Feb 14, 1992
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 9100016
Address
241 NW 57Th Ave, Miami, FL 33126
Category
Health Care
Issued Date
Sep 17, 1998
Effective Date
Nov 5, 2005
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 9000002
Address
12074 SW 116Th Ter, Miami, FL 33186
Category
Health Care
Issued Date
Jun 5, 1991
Effective Date
Feb 19, 2000
Type
Physician Assistant
License number
Florida 9105236
Address 2
4033 Canrady St, Fort Pierce, FL 34953
15858 SW Warfield Blvd, Indiantown, FL 34956
Category
Health Care
Issued Date
Oct 6, 2009
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9100911
Address
840 Rodney Dr, Nashville, TN 37205
Category
Health Care
Issued Date
Mar 30, 1999
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
License number
Florida 1999
Address
1660 SW 14Th Dr, Boca Raton, FL 33486
Category
Health Care
Issued Date
Feb 21, 1989
Effective Date
Feb 19, 2000
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 9101167
Address
10690 Rose Briar Ct NE, Cumberland, MD 21502
Category
Health Care
Issued Date
Dec 7, 1999
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 1704
Address
4 Rr 4 BOX 252, Dowling Park, FL 32060
Category
Health Care
Issued Date
Aug 11, 1987
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 9101111
Address 2
27968 Rigsby Rd, Daphne, AL 36526
312 Kenmore Ave, Pensacola, FL 32503
Category
Health Care
Issued Date
Sep 21, 1999
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Type
Physician Assistant
License number
Florida 1849
Address
3649 Cortez Rd W, Bradenton, FL 34210
Category
Health Care
Issued Date
Nov 4, 1987
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 9104827
Address
PO Box 191, Fletcher, OK 73541
Category
Health Care
Issued Date
Oct 7, 2008
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 2953
Address
2257 Trafalgar Ave, Riverside, CA 92506
Category
Health Care
Issued Date
Aug 8, 1995
Effective Date
Feb 19, 2000
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 2750
Address
380 Fulton St #C1, Farmingdale, NY 11735
Category
Health Care
Issued Date
Feb 25, 1994
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 9105240
Address 2
8251 Pathfinder Loop, Fort Myers, FL 33919
9010 Strada Stell Ct SUITE 103, Naples, FL 34109
Category
Health Care
Issued Date
Oct 6, 2009
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 9104499
Address
8274 Portsmouth Dr, Severn, MD 21144
Category
Health Care
Issued Date
Jan 23, 2008
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 9102457
Address 2
9233 Avalon Gates, Bridgeport, CT 06611
20 York St, New Haven, CT 06516
Category
Health Care
Issued Date
Jul 11, 2003
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Type
Physician Assistant
License number
Florida 3736
Address 2
2230 S Flagler Ave, Flagler Beach, FL 32136
6 Office Park Dr, Palm Coast, FL 32137
Category
Health Care
Issued Date
Oct 6, 1998
Effective Date
Jan 28, 2014
Expiration Date
Jan 31, 2014
Type
Physician Assistant
License number
Florida 9106977
Address 2
18 De Pardo Ln, Ormond Beach, FL 32174
60 Century Medical Dr, Titusville, FL 32796
Category
Health Care
Issued Date
Nov 6, 2012
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9102292
Address
12000 4Th St N APT #14, Saint Petersburg, FL 33716
Category
Health Care
Issued Date
Jan 10, 2003
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 9101031
Address
430 Morton Plant St SUITE 301, Clearwater, FL 33756
Category
Health Care
Issued Date
Jul 27, 1999
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 2416
Address
3450 Wayne Ave #18F, Bronx, NY 10467
Category
Health Care
Issued Date
Jan 29, 1992
Effective Date
Jan 1, 1901
Type
Physician Assistant
License number
Florida 2329
Address 2
187 Atkinson Farm Rd, Seagrove, NC 27341
601 S Armenia Ave, Tampa, FL 33609
Category
Health Care
Issued Date
Aug 8, 1990
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 9103167
Address
8408 E Garden Oaks Cir, West Palm Beach, FL 33410
Category
Health Care
Issued Date
Jan 11, 2005
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 2745
Address 2
4832 Americanwood St, Las Vegas, NV 89130
2621 Losee Rd, North Las Vegas, NV 89030
Category
Health Care
Issued Date
Feb 11, 1994
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Type
Physician Assistant
License number
Florida 9102224
Address
3302 Tuscany Way, Boynton Beach, FL 33436
Category
Health Care
Issued Date
Oct 29, 2002
Effective Date
Jul 24, 2003
Expiration Date
Feb 13, 2004
Type
Physician Assistant
License number
Florida 9106217
Address
2530 NW 34Th Ter, Gainesville, FL 32605
Category
Health Care
Issued Date
Oct 17, 2011
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 2629
Address
3006 Branch Wood Ln, Jacksonville, FL 32256
Category
Health Care
Issued Date
Apr 20, 1993
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Type
Physician Assistant
License number
Florida 9102489
Address
2937 Par Ln, Tallahassee, FL 32301
Category
Health Care
Issued Date
Jul 15, 2003
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 2236
Address
1273 Holly Ct, Yardley, PA 19067
Category
Health Care
Issued Date
Feb 12, 1990
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
License number
Florida 9105910
Address
2866 Mantanzas Ave, Fernandina, FL 32034
Category
Health Care
Issued Date
Feb 8, 2011
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 2976
Address
5785 Stonehaven Dr, Kennesaw, GA 30144
Category
Health Care
Issued Date
Nov 16, 1995
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
License number
Florida 9107666
Address
13951 Chelmsford Walk, Westminster, CA 92693
Category
Health Care
Issued Date
Nov 5, 2013
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9103956
Address
344 Weldon St, Redding, CA 96001
Category
Health Care
Issued Date
Oct 6, 2006
Effective Date
Feb 5, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9101804
Address 2
2051 SE 3 St Ocean Plz SUITE 310, Deerfield Beach, FL 33441
Not Currently Working, Boynton Beach, FL 33437
Category
Health Care
Issued Date
Sep 10, 2001
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 3116
Address
3411 15Th Ave SW, Naples, FL 34117
Category
Health Care
Issued Date
Jun 10, 1996
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 1889
Address
732 Tidewater Ct, Ponte Vedra, FL 32082
Category
Health Care
Issued Date
May 24, 1988
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 3546
Address
840 NW 86Th Ave APT 401, Fort Lauderdale, FL 33324
Category
Health Care
Issued Date
Feb 6, 1998
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Type
Physician Assistant
License number
Florida 2091
Address
11038 Lk City Way N E APT 407, Seattle, WA 93125
Category
Health Care
Issued Date
Jul 26, 1989
Effective Date
Feb 19, 2000
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 3359
Address
9685 SE Landing Pl, Jupiter, FL 33469
Category
Health Care
Issued Date
Jun 19, 1997
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 9101176
Address
3826 N Lake Orlando Pkwy, Orlando, FL 32808
Category
Health Care
Issued Date
Jan 19, 2000
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9101316
Address
657 Worcester St #102, Globe Village, MA 01550
Category
Health Care
Issued Date
Jul 18, 2000
Effective Date
Jun 16, 2004
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 1772
Address
2988 Vine Cir, Decatur, GA 30033
Category
Health Care
Issued Date
Sep 4, 1987
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
License number
Florida 9105277
Address
3000 Riomar St #705, Fort Lauderdale, FL 33304
Category
Health Care
Issued Date
Oct 21, 2009
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
License number
Florida 9103239
Address
120 Erskine Pl #3C, Bronx, NY 10475
Category
Health Care
Issued Date
Mar 11, 2005
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
License number
Florida 9101317
Address
860 Halekauwila St, Honolulu, HI 96813
Category
Health Care
Issued Date
Jul 18, 2000
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 1547
Address
48 Ames Ave, Jamestown, NY 14701
Category
Health Care
Issued Date
Apr 28, 1987
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
License number
Florida 9102904
Address
785 Pirates Rest Rd, Fort Myers, FL 33917
Category
Health Care
Issued Date
Jul 15, 2004
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
License number
Florida 9101184
Address 2
3900 Busbee Pkwy APT 303, Kennesaw, GA 30144
2970 Clairmont Rd NE SUITE 200, Atlanta, GA 30329
Category
Health Care
Issued Date
Jan 19, 2000
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
License number
Florida 9106572
Address 2
2201 NW 3Rd Ave, Boca Raton, FL 33431
1309 N Flagler Dr, West Palm Beach, FL 33401
Category
Health Care
Issued Date
Apr 30, 2012
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
License number
Florida 9104004
Address 2
209 Spring St, Carrollton, GA 30117
785 W Granada Blvd, Ormond Beach, FL 32174
Category
Health Care
Issued Date
Oct 31, 2006
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Type
Physician Assistant
License number
Florida 9101762
Address
3801 Sandpiper Dr, Boynton Beach, FL 33436
Category
Health Care
Issued Date
Aug 14, 2001
Effective Date
Feb 22, 2002
Expiration Date
Jan 31, 2002
Type
Physician Assistant
License number
Florida 3737
Address
1804 Meadow Green Pl, Florence, SC 29501
Category
Health Care
Issued Date
Oct 6, 1998
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
License number
Florida 3738
Address
2118 Otter Way, Palm Harbor, FL 34685
Category
Health Care
Issued Date
Oct 6, 1998
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
License number
Florida 9106123
Address
2501 S Ocean Dr APT 627, Hollywood, FL 33019
Category
Health Care
Issued Date
Aug 30, 2011
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant