License Verification

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RENEE ANDRIA GALLO

License Number: ME119631

Data As Of 6/2/2024

Profession
Medical Doctor
License
ME119631
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/17/2014
Address of Record
2023 Myra Street
JACKSONVILLE, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Yes
Discipline on File
No
Public Complaint
No
Address
4745 Sutton Park Ct Suite 501
JACKSONVILLE, FL 32224
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
DUFF, PAUL C Dispensing Physician Assistant Physician Assistant 2397 10/8/2021
DUFF, PAUL C Prescribing Physician Assistant Physician Assistant 2397 7/1/2021
FRIES, ALLISON MARIE Dispensing Physician Assistant Physician Assistant 9106610 8/8/2022
FRIES, ALLISON MARIE Prescribing Physician Assistant Physician Assistant 9106610 8/8/2022
GREEN, JEFFREY MICHAEL Dispensing Physician Assistant Physician Assistant 3530 5/19/2023
GREEN, JEFFREY MICHAEL Prescribing Physician Assistant Physician Assistant 3530 5/19/2023
HORNE, LESLIE SUZANN Dispensing Physician Assistant Physician Assistant 9103683 9/13/2021
JEAN-LOUIS, LOUBENS Prescribing Physician Assistant Physician Assistant 9102172 9/7/2021
ROSEL, GEORGANNA MICHELLE Dispensing Physician Assistant Medical Doctor 134082 8/8/2022

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 6/2/2024



* 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.