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Licenses
Physician Assistant
Florida
Ponte Vedra
Best licensed Physician Assistant in Ponte Vedra, FL
NICOLE M ANTENUCCI
License number
Florida 9109691
Address
2
408 Stone Rdg Dr, Ponte Vedra, FL 32081
257 Hanover St, Annapolis, MD 21401
Category
Health Care
Issued Date
Aug 4, 2016
Effective Date
Aug 4, 2016
Expiration Date
Jan 31, 2018
Type
Physician Assistant
ROBERT K BOBILIN
License number
Florida 9102879
Address
2
213 Eagle Pass Dr, Ponte Vedra, FL 32081
Univ Of Florida School Of Pa S, Gainesville, FL 32610
Category
Health Care
Issued Date
Jul 13, 2004
Effective Date
Jul 13, 2004
Expiration Date
Jan 31, 2018
Type
Physician Assistant
WILLIAM M BONNER
License number
Florida 9107302
Address
2
47 Stony Ford Dr, Ponte Vedra, FL 32081
15255 Max Leggett Pkwy, Jacksonville, FL 32218
Category
Health Care
Issued Date
Jul 1, 2013
Effective Date
Jul 1, 2013
Expiration Date
Jan 31, 2018
Type
Physician Assistant
SHEILA K BROOKS
License number
Florida 3310
Address
256 Patrick Mill Cir, Ponte Vedra, FL 32082
Category
Health Care
Issued Date
Apr 7, 1997
Effective Date
Feb 22, 2006
Expiration Date
Jan 31, 2004
Type
Physician Assistant
AARON L FISHER
License number
Florida 9105407
Address
2
132 Princess Dr, Ponte Vedra, FL 32081
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Mar 4, 2010
Effective Date
Mar 4, 2010
Expiration Date
Jan 31, 2018
Type
Physician Assistant
WILEY D FOWLER, III
License number
Florida 9106930
Address
2
2004 Chaucer Ln, Ponte Vedra, FL 32081
1127 16Th Ave S, Jacksonville, FL 32250
Category
Health Care
Issued Date
Oct 8, 2012
Effective Date
Oct 8, 2012
Expiration Date
Jan 31, 2018
Type
Physician Assistant
NIKUNJ M GAJARAWALA
License number
Florida 3451
Address
2
314 Cross Ridge Dr, Ponte Vedra, FL 32081
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Dec 10, 1997
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2018
Type
Physician Assistant
SHILPA N GAJARAWALA
License number
Florida 3452
Address
2
314 Cross Ridge Dr, Ponte Vedra, FL 32081
4500 Mayo Clinic, Jacksonville, FL 32224
Category
Health Care
Issued Date
Dec 10, 1997
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2018
Type
Physician Assistant
STACIE A GOPAL
License number
Florida 9107852
Address
2
689 Majestic Eagle Dr, Ponte Vedra, FL 32081
6675 Corporate Center Pkwy SUITE 112, Jacksonville, FL 32216
Category
Health Care
Issued Date
Mar 17, 2014
Effective Date
Mar 17, 2014
Expiration Date
Jan 31, 2018
Type
Physician Assistant
JULIE M HARRINGTON
License number
Florida 9107011
Address
2
221 Greenlead Lk Ave, Ponte Vedra, FL 32081
906 Park Ave, Orange Park, FL 32073
Category
Health Care
Issued Date
Dec 10, 2012
Effective Date
Dec 10, 2012
Expiration Date
Jan 31, 2018
Type
Physician Assistant
HESTER E HARTMAN
License number
Florida 9105195
Address
2
424 E Woodhaven Dr, Ponte Vedra, FL 32082
4205 Belfort Rd SUITE #1100, Jacksonville, FL 32216
Category
Health Care
Issued Date
Sep 23, 2009
Effective Date
Aug 19, 2013
Expiration Date
Jan 31, 2018
Type
Physician Assistant
LAUREL E HERRON
License number
Florida 9101706
Address
2
105 Cyress Lagoon Ct, Ponte Vedra, FL 32082
12620 Beach Blvd SUITE 13, Jacksonville, FL 32246
Category
Health Care
Issued Date
Jul 16, 2001
Effective Date
Jul 16, 2001
Expiration Date
Jan 31, 2018
Type
Physician Assistant
TINA L KRIDER
License number
Florida 9107880
Address
2
69 Catkin Ln, Ponte Vedra, FL 32081
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Apr 9, 2014
Effective Date
Apr 9, 2014
Expiration Date
Jan 31, 2018
Type
Physician Assistant
MARY D LIKINS
License number
Florida 1801
Address
1171 Salt Marsh Cir, Ponte Vedra, FL 32082
Category
Health Care
Issued Date
Oct 21, 1987
Effective Date
Feb 24, 2002
Expiration Date
Jan 31, 2000
Type
Physician Assistant
LORI A AUSTIN-MCDONALD
License number
Florida 2641
Address
2
367 Captiva Dr, Ponte Vedra, FL 32081
900 Beach Blvd, Jacksonville, FL 32250
Category
Health Care
Issued Date
Jun 4, 1993
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2018
Type
Physician Assistant
THOMAS D LUKACSA
License number
Florida 9104358
Address
2
101 Marketside Ave SUITE 404-330, Ponte Vedra, FL 32081
11850 Atlantic Blvd, Jacksonville, FL 32225
Category
Health Care
Issued Date
Sep 17, 2007
Effective Date
Sep 17, 2007
Expiration Date
Jan 31, 2018
Type
Physician Assistant
JOSHUA B MASSEY
License number
Florida 9104570
Address
2
386 Cross Ridge Dr, Ponte Vedra, FL 32081
10475 Centurion Pkwy NORTH STE201, Jacksonville, FL 32256
Category
Health Care
Issued Date
Apr 28, 2008
Effective Date
Apr 28, 2008
Expiration Date
Jan 31, 2018
Type
Physician Assistant
MARK A MATHIAS
License number
Florida 9105501
Address
2
168 Whisper Rock Dr, Ponte Vedra, FL 32081
2 Shircliff Way SUITE 605, Jacksonville, FL 32204
Category
Health Care
Issued Date
Jun 22, 2010
Effective Date
Jun 22, 2010
Expiration Date
Jan 31, 2018
Type
Physician Assistant
MARY E MCLAUGHLIN
License number
Florida 9102245
Address
2
551 Rutile Dr, Ponte Vedra, FL 32082
850 6Th Ave S SUITE 560, Jacksonville, FL 32250
Category
Health Care
Issued Date
Oct 30, 2002
Effective Date
Oct 30, 2002
Expiration Date
Jan 31, 2018
Type
Physician Assistant
MEGAN M MINOR
License number
Florida 9106916
Address
2
1021 Hanover Ln, Ponte Vedra, FL 32081
14540 Old St Augustine Rd STE 2317, Jacksonville, FL 32258
Category
Health Care
Issued Date
Oct 4, 2012
Effective Date
Oct 4, 2012
Expiration Date
Jan 31, 2018
Type
Physician Assistant
CAITLYN P MOORE
License number
Florida 9108166
Address
2
244 Vly Grv Dr, Ponte Vedra, FL 32081
8117 Point Meadows Dr, Jacksonville, FL 32256
Category
Health Care
Issued Date
Sep 4, 2014
Effective Date
Sep 4, 2014
Expiration Date
Jan 31, 2018
Type
Physician Assistant
TODD A OSTERBUR
License number
Florida 9105319
Address
2
327 Royal Lake Dr, Ponte Vedra, FL 32081
14785 Old St Augustine Rd #200, Jacksonville, FL 32258
Category
Health Care
Issued Date
Dec 17, 2009
Effective Date
Dec 17, 2009
Expiration Date
Jan 31, 2018
Type
Physician Assistant
MICHAEL P SCIOTTO
License number
Florida 9107562
Address
2
PO Box 583, Ponte Vedra, FL 32004
4500 San Pablo Rd S, Jacksonville, FL 32224
Category
Health Care
Issued Date
Sep 30, 2013
Effective Date
Sep 30, 2013
Expiration Date
Jan 31, 2018
Type
Physician Assistant
DOUGLAS L SENECAL
License number
Florida 9103241
Address
2
320 Royal Lake Dr, Ponte Vedra, FL 32081
479 Houston St, Green Cove Springs, FL 32043
Category
Health Care
Issued Date
Mar 11, 2005
Effective Date
Mar 11, 2005
Expiration Date
Jan 31, 2018
Type
Physician Assistant
KRISTEN E TUCKER
License number
Florida 9104439
Address
2
293 Royal Lake Dr, Ponte Vedra, FL 32081
2001 Kingsley Ave, Orange Park, FL 32073
Category
Health Care
Issued Date
Nov 28, 2007
Effective Date
Nov 28, 2007
Expiration Date
Jan 31, 2018
Type
Physician Assistant
KRISTA M VERDI
License number
Florida 9102906
Address
2
101 Puritan Rd, Ponte Vedra, FL 32081
11261 San Jose Blvd, Jacksonville, FL 32223
Category
Health Care
Issued Date
Jul 16, 2004
Effective Date
Feb 14, 2014
Expiration Date
Jan 31, 2012
Type
Physician Assistant
KATEY M WERT
License number
Florida 9104614
Address
2
124 Windstone Ln, Ponte Vedra, FL 32081
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Jun 23, 2008
Effective Date
Jun 23, 2008
Expiration Date
Jan 31, 2018
Type
Physician Assistant
DEBORAH M WILLIAMS
License number
Florida 9103059
Address
2
137 Mill Cove Ln, Ponte Vedra, FL 32082
150 Mariner Health Way, Saint Augustine, FL 32086
Category
Health Care
Issued Date
Oct 5, 2004
Effective Date
Oct 5, 2004
Expiration Date
Jan 31, 2018
Type
Physician Assistant
MEREDITH A WILLIAMS
License number
Florida 2724
Address
2
128 Jackrabbit Trl, Ponte Vedra, FL 32081
4500 San Pablo Rd, Jacksonville, FL 32224
Category
Health Care
Issued Date
Feb 1, 1994
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2018
Type
Physician Assistant
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