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Licenses
Physician Assistant
Florida
Physician Assistant Licenses in Florida
JASON B POLONSKY
License number
Florida 9104075
Address
Florida
Category
Health Care
Issued Date
Jan 25, 2007
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
MINDY L POMERLEAU
License number
Florida 9104404
Address
2
735 Cross Hill Rd, Vassalboro, ME 04989
28 Everett St, Manchester, NH 03104
Category
Health Care
Issued Date
Oct 10, 2007
Effective Date
Sep 8, 2011
Expiration Date
Jan 31, 2012
Type
Physician Assistant
DAVID A PONTON
License number
Florida 9105551
Address
6435L 186Th Ln, Flushing, NY 11365
Category
Health Care
Issued Date
Aug 3, 2010
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
KATHY S POODIACK
License number
Florida 9104850
Address
2
5452 Glenridge Dr APT 664, Atlanta, GA 30342
1700 Hospital South Dr SOUTH SUITE 300, Austell, GA 30106
Category
Health Care
Issued Date
Nov 3, 2008
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
JULIE W POOLE
License number
Florida 2106
Address
5150 Linton Blvd, Delray Beach, FL 33484
Category
Health Care
Issued Date
Aug 10, 1989
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
LESLIE H PORTER
License number
Florida 2042
Address
2
3250 Hudson Xing APT 435, Mckinney, TX 75070
Space Coast Surgical Assistant, Melbourne, FL 32902
Category
Health Care
Issued Date
Apr 13, 1989
Effective Date
Feb 19, 2000
Expiration Date
Jan 31, 1998
Type
Physician Assistant
ALEXANDRA M POSZ
License number
Florida 9107482
Address
1372 Dixon Dr, Saint Paul Park, MN 55071
Category
Health Care
Issued Date
Sep 12, 2013
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
TONY R POTTER
License number
Florida 9104901
Address
244 Intrepid Way, Melbourne, FL 32903
Category
Health Care
Issued Date
Jan 8, 2009
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
TONY R POTTER
License number
Florida 3537
Address
3921 Bayberry Dr, Melbourne, FL 32901
Category
Health Care
Issued Date
Jan 29, 1998
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Type
Physician Assistant
HERVE POULARD
License number
Florida 9101153
Address
Florida
Category
Health Care
Issued Date
Nov 29, 1999
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
CHRISTOPHER M POWELL
License number
Florida 9101330
Address
1604 Town Ctr Blvd SUITE C, Fort Lauderdale, FL 33326
Category
Health Care
Issued Date
Jul 18, 2000
Effective Date
Sep 3, 2009
Expiration Date
Jan 31, 2008
Type
Physician Assistant
OSCAR D POZO
License number
Florida 9100101
Address
9248 SW 154Th Ct, Miami, FL 33196
Category
Health Care
Issued Date
Sep 17, 1998
Effective Date
Jan 18, 2006
Expiration Date
Jan 31, 2006
Type
Physician Assistant
JAMES A PRATTA
License number
Florida 9104396
Address
7203 Bishops View Cir, Cherry Hill, NJ 08002
Category
Health Care
Issued Date
Oct 2, 2007
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
DANIEL R PRENTICE
License number
Florida 1851
Address
10270 Bernarda Ct, Brooksville, FL 34608
Category
Health Care
Issued Date
Nov 4, 1987
Effective Date
Feb 27, 2008
Expiration Date
Jan 31, 2006
Type
Physician Assistant
JASON B PRESLEY
License number
Florida 9104489
Address
9085 Lakeview Dr, Foley, AL 36535
Category
Health Care
Issued Date
Jan 15, 2008
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
DEBORAH H PRESS
License number
Florida 9103923
Address
3112 W Master St, Philadelphia, PA 19121
Category
Health Care
Issued Date
Sep 21, 2006
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
GARLAND L PRESTWOOD
License number
Florida 2066
Address
9751 SW 158Th St, Miami, FL 33157
Category
Health Care
Issued Date
Jun 15, 1989
Effective Date
Feb 19, 2000
Expiration Date
Jan 31, 1998
Type
Physician Assistant
TROY J PREVOT
License number
Florida 1975
Address
5414 SW 4Th Pl, Gainesville, FL 32607
Category
Health Care
Issued Date
Oct 12, 1988
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
CRAIG G PRICE
License number
Florida 2043
Address
4962 SW 166Th Court Rd, Ocala, FL 34481
Category
Health Care
Issued Date
Apr 13, 1989
Effective Date
Feb 3, 2006
Expiration Date
Jan 31, 2006
Type
Physician Assistant
MIDGE M PRICE
License number
Florida 1707
Address
236 Milroy St NW, Olympia, WA 98502
Category
Health Care
Issued Date
Aug 11, 1987
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
TERESA A PRICE
License number
Florida 9100953
Address
301 Antioch Rd, Anniston, AL 36207
Category
Health Care
Issued Date
Jun 23, 1999
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
LISA A PRINCIPE
License number
Florida 9104213
Address
74 Caswell Ave, Staten Island, NY 10314
Category
Health Care
Issued Date
Jun 28, 2007
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
RACHEL E PRINTY
License number
Florida 9105533
Address
2
4113 Kimmer Rowe Dr, Tallahassee, FL 32309
636 Del Prado Blvd S, Cape Coral, FL 33990
Category
Health Care
Issued Date
Jul 9, 2010
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
ROBERT M PRIVETTE
License number
Florida 1790
Address
2
PO Box 12274, Gainesville, FL 32604
5481 SW 60Th St UNIT 400, Ocala, FL 34474
Category
Health Care
Issued Date
Sep 4, 1987
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Type
Physician Assistant
MARIYA PRIYMAK
License number
Florida 9108688
Address
2
533 E Montclair St APT 3C, Springfield, MO 65807
270 SE 10Th St, Pompano Beach, FL 33060
Category
Health Care
Issued Date
Apr 28, 2015
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
CHRISTOPHER M PROBST
License number
Florida 2729
Address
5240 Summer Cres, Virginia Beach, VA 23462
Category
Health Care
Issued Date
Feb 1, 1994
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Type
Physician Assistant
KRISTIN M PROCHASKA
License number
Florida 9102137
Address
2
16161 Bristol Pointe Dr, Delray Beach, FL 33446
444 Williamson Rd SUITE B, Mooresville, NC 28117
Category
Health Care
Issued Date
Sep 5, 2002
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
SUSAN A PROIETTO
License number
Florida 3684
Address
1550 Brickell Ave, Miami, FL 33129
Category
Health Care
Issued Date
Jul 23, 1998
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Type
Physician Assistant
THOMAS L PROSSER
License number
Florida 2121
Address
5213 34Th Street Ct W, Bradenton, FL 34210
Category
Health Care
Issued Date
Aug 30, 1989
Effective Date
Jan 6, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
STEPHEN C PROVENZA
License number
Florida 9101590
Address
2
11954 Colby Creek Dr, Jacksonville, FL 32258
400 Health Park Blvd, Saint Augustine, FL 32086
Category
Health Care
Issued Date
May 10, 2001
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Type
Physician Assistant
PRUDENCE M PUGLIESE-OLSEN
License number
Florida 2586
Address
141 Wood Lake Dr, Garden City, SC 29576
Category
Health Care
Issued Date
Nov 24, 1992
Effective Date
Feb 19, 2000
Expiration Date
Jan 31, 1998
Type
Physician Assistant
REGINA D PRUITT
License number
Florida 9105421
Address
2906 10Th Ave S, Birmingham, AL 35205
Category
Health Care
Issued Date
Mar 16, 2010
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
PIOTR PRYSTUPA
License number
Florida 9102869
Address
122 Underhill Ln, Peekskill, NY 10566
Category
Health Care
Issued Date
Jul 12, 2004
Effective Date
Jan 6, 2016
Expiration Date
Jan 31, 2016
Type
Physician Assistant
SAM G PUCCINELLI
License number
Florida 9101792
Address
505 W Buck St, Caldwell, TX 77836
Category
Health Care
Issued Date
Sep 10, 2001
Effective Date
Feb 16, 2004
Expiration Date
Jan 31, 2002
Type
Physician Assistant
SUSAN E PUCKETT
License number
Florida 2651
Address
9439 Daney St, Winter Garden, FL 34787
Category
Health Care
Issued Date
Jun 25, 1993
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 1998
Type
Physician Assistant
DARRELL L PUGH
License number
Florida 2477
Address
121 Sunset Dr, Mboro, IL 62966
Category
Health Care
Issued Date
Jan 31, 1992
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
KIMBERLY A PULIDO
License number
Florida 3033
Address
16307 NE Russell Rd, Portland, OR 97230
Category
Health Care
Issued Date
Jan 23, 1996
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
NOCOLLEGE A PUPUMA
License number
Florida 9102243
Address
2
219 Ivy Chase Ln, Norcross, GA 30092
1431 Riverside Pkwy STE B, Lawrenceville, GA 30043
Category
Health Care
Issued Date
Oct 30, 2002
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Type
Physician Assistant
CAROL E PURINGTON
License number
Florida 3139
Address
2
2432 20Th Ave S #108, Fargo, ND 58103
3000 W Cypress Creek Rd, Fort Lauderdale, FL 33309
Category
Health Care
Issued Date
Aug 5, 1996
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
MARION QUAIL
License number
Florida 1852
Address
4681- 1St St NE #204, Saint Petersburg, FL 33703
Category
Health Care
Issued Date
Nov 4, 1987
Effective Date
Nov 21, 2007
Expiration Date
Jan 31, 2008
Type
Physician Assistant
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