License Verification

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JEFFREY BLAKE BURNETTE

License Number: ME116054

Data As Of 6/8/2024

Profession
Medical Doctor
License
ME116054
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
05/09/2013
Address of Record
2300 Park Ave
Suite 206
ORANGE PARK, FL 32073
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
ROETTGES, PAUL SEBASTIAN Supervisor Medical Doctor 134760 03/13/2020
VON THRON, MILTON JOHN Supervisor Medical Doctor 63253 04/17/2020

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Name Relationship Profession License Effective Date
DAVIS, TIFFANY JOY Dispensing Physician Assistant Physician Assistant 9117834 9/18/2023
DAVIS, TIFFANY JOY Prescribing Physician Assistant Physician Assistant 9117834 9/18/2023
LAIPPLY SMITH, ERIN MARIE Dispensing Physician Assistant Physician Assistant 9102173 6/17/2022
LAIPPLY SMITH, ERIN MARIE Prescribing Physician Assistant Physician Assistant 9102173 6/17/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/8/2024



* 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.