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License Verification

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DEVIN REECE MARTIN

License Number: PA9109422

Data As Of 5/29/2024

Profession
Physician Assistant
License
PA9109422
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/09/2016
Address of Record
500 WINDERLEY PLACE
MAITLAND, FL 32751
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8383 North Davis Hwy
PENSACOLA, FL 32154
Address
2674 Capital Circle SE Tallahassee Medical Center Southwood
TALLAHASSEE, FL 32311
Address
1451 El Camino Real
THE VILLAGES, FL 32159
Address
600 E. Dixie Ave
LEESBURG, FL 34748
Address
3625 UNIVERSITY BLVD. MEMORIAL HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32216
Name Relationship Profession License Effective Date
ALEMAN-BERMUDEZ, JAIME J Supervising Prescribing Practitioner Medical Doctor 49940 02/13/2018
ATTLESEY, MARK GRAHAM Supervising Prescribing Practitioner Medical Doctor 71653 02/13/2018
BAKOR, NADIA Supervising Prescribing Practitioner Medical Doctor 131303 02/13/2018
BHANJI, WYLENE NOLAN Supervising Prescribing Practitioner Osteopathic Physician 9034 02/13/2018
BLAKE, STEVEN MITCHELL M D Supervising Prescribing Practitioner Medical Doctor 58519 02/13/2018
BRACE, RONALD JOHN Supervising Prescribing Practitioner Medical Doctor 120282 02/13/2018
CHAPMAN, JENNIFER COLES Supervising Prescribing Practitioner Medical Doctor 125751 02/13/2018
CHEANVECHAI, DAYCHA Supervising Prescribing Practitioner Medical Doctor 76415 02/13/2018
CHRISTEN, NEIL LEONARD Supervising Prescribing Practitioner Medical Doctor 129370 02/13/2018
DAVIS, DAVID RICHARD Supervising Prescribing Practitioner Medical Doctor 96442 02/13/2018
EUWEMA, MICHAEL SCOTT Supervising Prescribing Practitioner Medical Doctor 91648 02/13/2018
FORSTER, JOHN GEORGE III Supervising Prescribing Practitioner Medical Doctor 69993 02/13/2018
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 02/13/2018
GRIGSBY, ROBERT LEE III Supervising Prescribing Practitioner Medical Doctor 34609 02/13/2018
GYARMATHY, RAYMOND HOWARD Supervising Prescribing Practitioner Medical Doctor 53513 02/13/2018
HAYES, JAMES D JR Supervising Prescribing Practitioner Medical Doctor 42140 02/13/2018
HUMPHRIES, JERRY FRANKLIN JR Supervising Prescribing Practitioner Medical Doctor 112733 02/13/2018
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 02/13/2018
KOURY, RONALD FORREST D O Supervising Prescribing Practitioner Osteopathic Physician 8090 02/13/2018
LAMOND, RYAN DANIEL Supervising Prescribing Practitioner Medical Doctor 106090 02/13/2018
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 09/20/2018
MARGERUM, GAIL SHAW Supervising Prescribing Practitioner Medical Doctor 98283 02/13/2018
MATHAI, ALEX Supervising Prescribing Practitioner Medical Doctor 122229 02/13/2018
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 02/13/2018
OLIVER, RADAMES ALBERTO Supervising Prescribing Practitioner Medical Doctor 67906 02/13/2018
PAPAVASILIOU, JOHN JOSEPH Supervising Prescribing Practitioner Medical Doctor 66371 02/13/2018
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 02/13/2018
ROSADO, MELISSA Supervising Prescribing Practitioner Medical Doctor 125407 02/13/2018
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 02/13/2018
WALLACE, MOIRA PETIRS Supervising Prescribing Practitioner Medical Doctor 133941 02/13/2018
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 02/13/2018
WARRINGTON, STEVEN Supervising Prescribing Practitioner Medical Doctor 131907 02/13/2018
WHEELER, MARERIL Supervising Prescribing Practitioner Medical Doctor 126534 02/13/2018
WINNINGHAM, DAVID JASON Supervising Prescribing Practitioner Osteopathic Physician 12586 02/13/2018
WOOD, STEPHANIE KAREN Supervising Prescribing Practitioner Medical Doctor 35012 02/13/2018
ZAGER, SCOTT LAWRENCE Supervising Prescribing Practitioner Medical Doctor 91062 02/13/2018
ZERNIAL, CHRISTOPHER B Supervising Prescribing Practitioner Medical Doctor 131593 02/13/2018

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/29/2024



* 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.