License Verification

Printer Friendly Version

JACOB CODY HINSON

License Number: PA9108842

Data As Of 6/10/2024

Profession
Physician Assistant
License
PA9108842
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/27/2015
Address of Record
1 Shircliff Way
St. Vincent's Riverside
JACKSONVILLE, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1670 ST. VINCENT'S WAY ST. VINCENT'S CLAY COUNTY
MIDDLEBURG, FL 32068
Address
4201 BELFORT ROAD ST VINCENT'S SOUTHSIDE
JACKSONVILLE, FL 32216
Address
850 E W MAIN ST LAKE BUTLER HOSPITAL
LAKE BUTLER, FL 32054
Name Relationship Profession License Effective Date
AIELLO, JAMES JOHN Supervising Prescribing Practitioner Medical Doctor 113843 06/24/2019
ALEMAN-BERMUDEZ, JAIME J Supervising Prescribing Practitioner Medical Doctor 49940 09/19/2018
ALONSO, LEONARDO LAZARO Supervising Prescribing Practitioner Osteopathic Physician 6584 09/19/2018
AMIN, SHILPA KIRIT Supervising Prescribing Practitioner Medical Doctor 118558 09/19/2018
ATTLESEY, MARK GRAHAM Supervising Prescribing Practitioner Medical Doctor 71653 09/19/2018
AUGENSTEIN, W LYNN MD Supervising Prescribing Practitioner Medical Doctor 55214 06/24/2019
BAKOR, NADIA Supervising Prescribing Practitioner Medical Doctor 131303 09/19/2018
BERGER, BRADLEY ROSS MD Supervising Prescribing Practitioner Medical Doctor 51471 06/24/2019
BLAKE, STEVEN MITCHELL M D Supervising Prescribing Practitioner Medical Doctor 58519 09/19/2018
BRACE, RONALD JOHN Supervising Prescribing Practitioner Medical Doctor 120282 09/19/2018
BRYANT, LAURIE SUSAN Supervising Prescribing Practitioner Osteopathic Physician 13282 06/24/2019
CHEANVECHAI, DAYCHA Supervising Prescribing Practitioner Medical Doctor 76415 09/19/2018
DAVIS, DAVID RICHARD Supervising Prescribing Practitioner Medical Doctor 96442 09/19/2018
DIETRICH, WILLIAM GERARD MD Supervising Prescribing Practitioner Medical Doctor 55253 06/24/2019
EUWEMA, MICHAEL SCOTT Supervising Prescribing Practitioner Medical Doctor 91648 09/19/2018
FARR, JORDAN TAYLOR Supervising Prescribing Practitioner Osteopathic Physician 15015 09/19/2018
FINKLEA, TERI LYNN Supervising Prescribing Practitioner Medical Doctor 115273 06/24/2019
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 09/19/2018
GYARMATHY, RAYMOND HOWARD Supervising Prescribing Practitioner Medical Doctor 53513 09/19/2018
HAROLD, KELVIN JAMES Supervising Prescribing Practitioner Medical Doctor 122392 06/24/2019
HOIDA, JEFFREY SCOTT MD Supervising Prescribing Practitioner Medical Doctor 136257 06/24/2019
HOIDA, SHIELDS DUSS Supervising Prescribing Practitioner Medical Doctor 125526 04/17/2019
HUMPHRIES, JERRY FRANKLIN JR Supervising Prescribing Practitioner Medical Doctor 112733 09/19/2018
JARAMILLO, DAVID HERNANDO Supervising Prescribing Practitioner Medical Doctor 96063 07/25/2019
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 09/19/2018
JOHNSON, JENNIFER BURKE Supervising Prescribing Practitioner Medical Doctor 115159 09/19/2018
JOHNSTONE, CHRISTINE LYN Supervising Prescribing Practitioner Medical Doctor 97925 06/24/2019
KING, KENNETH Supervising Prescribing Practitioner Osteopathic Physician 8648 09/19/2018
KINMAN, ISAAC MITCHELL Supervising Prescribing Practitioner Osteopathic Physician 15575 06/24/2019
KOURY, RONALD FORREST D O Supervising Prescribing Practitioner Osteopathic Physician 8090 09/19/2018
LAMOND, RYAN DANIEL Supervising Prescribing Practitioner Medical Doctor 106090 09/19/2018
LUCEY, PAUL D MD Supervising Prescribing Practitioner Medical Doctor 50050 06/24/2019
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 06/24/2019
MATHAI, ALEX Supervising Prescribing Practitioner Medical Doctor 122229 09/19/2018
MCBRIDE JOHNSON, ERIN RUTH Supervising Prescribing Practitioner Medical Doctor 110283 06/24/2019
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 09/19/2018
MOIR, PAUL A Supervising Prescribing Practitioner Medical Doctor 76950 06/24/2019
MYHRER, ERIK Supervising Prescribing Practitioner Medical Doctor 96634 06/24/2019
OLIVER, RADAMES ALBERTO Supervising Prescribing Practitioner Medical Doctor 67906 09/19/2018
PETERSON, MICHAEL DAVID Supervising Prescribing Practitioner Osteopathic Physician 13490 06/24/2019
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 09/19/2018
REZNICSEK, DANIELLE RENEE MD Supervising Prescribing Practitioner Medical Doctor 85463 06/24/2019
SAPOLSKY, JEFFREY HOWARD MD Supervising Prescribing Practitioner Medical Doctor 68324 06/24/2019
SCHARE, ANDREW IRA Supervising Prescribing Practitioner Medical Doctor 80137 06/24/2019
SHAH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 127108 06/24/2019
SHARP, PHILIP R Supervising Prescribing Practitioner Medical Doctor 22975 06/24/2019
SLOTT, EDWIN FREDERICK Supervising Prescribing Practitioner Medical Doctor 120515 09/19/2018
STERKA, DAVID GEORGE JR Supervising Prescribing Practitioner Medical Doctor 125380 06/24/2019
STERN, NEIL DAVID Supervising Prescribing Practitioner Osteopathic Physician 8723 09/19/2018
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 09/19/2018
TRACY, MICHAEL CHARLES Supervising Prescribing Practitioner Medical Doctor 73346 09/19/2018
VASUDEVA, SANJAY Supervising Prescribing Practitioner Medical Doctor 113428 09/19/2018
VIHLEN, ANDREW SCOTT Supervising Prescribing Practitioner Medical Doctor 109676 06/24/2019
WALLACE, MOIRA PETIRS Supervising Prescribing Practitioner Medical Doctor 133941 09/19/2018
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 09/19/2018
WARRINGTON, STEVEN Supervising Prescribing Practitioner Medical Doctor 131907 09/19/2018
WINNINGHAM, DAVID JASON Supervising Prescribing Practitioner Osteopathic Physician 12586 09/19/2018
WOOD, STEPHANIE KAREN Supervising Prescribing Practitioner Medical Doctor 35012 09/19/2018
ZAGER, SCOTT LAWRENCE Supervising Prescribing Practitioner Medical Doctor 91062 09/19/2018
ZEATON, KARIN ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 10311 09/19/2018

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

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 6/10/2024



* 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.