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JUSTIN STUART SKIDMORE

License Number: PA9110082

Data As Of 5/16/2024

Profession
Physician Assistant
License
PA9110082
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/14/2016
Address of Record
13100 Fort King Rd
DADE CITY, FL 33525
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
ABII-IKPESA, ULOMA NINO OLAMIPO Supervising Prescribing Practitioner Medical Doctor 148823 12/01/2023
ABRAHAMS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 137738 10/01/2023
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 09/01/2023
ANSARI, MASOOD UL-HASSAN Supervising Prescribing Practitioner Medical Doctor 76511 01/25/2023
BALLARINI, V JOSEPH JOHN Supervising Prescribing Practitioner Osteopathic Physician 11220 10/01/2023
BARNES, RICHARD R JR Supervising Prescribing Practitioner Medical Doctor 69285 11/01/2023
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 11/01/2023
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 09/25/2023
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 09/25/2023
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 09/25/2023
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 11/01/2023
BULLOCK, CORINNE MARY Supervising Prescribing Practitioner Medical Doctor 161025 11/01/2023
CARDONA, LINA M Supervising Prescribing Practitioner Medical Doctor 156483 10/15/2023
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 09/25/2023
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/15/2023
COBB WEYAND, ALYSSA CLAIRE Supervising Prescribing Practitioner Physician Assistant 9109483 08/01/2021
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 09/15/2023
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 07/08/2022
DAILEY, CHRISTY A Supervising Prescribing Practitioner Physician Assistant 9103849 10/15/2021
DESAI, HARSHEEL Supervising Prescribing Practitioner Medical Doctor 149295 09/15/2023
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 09/15/2023
DONG, ROBIN Supervising Prescribing Practitioner Osteopathic Physician 16100 11/28/2022
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 11/01/2023
FISHER, ALLEN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 6992 04/03/2020
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 01/19/2023
GONZALEZ, JAVIER IGNACIO Supervising Prescribing Practitioner Medical Doctor 107827 11/01/2023
GOYAL, KAMAL KUMAR MD Supervising Prescribing Practitioner Medical Doctor 132449 05/01/2023
GRAY, ADAM CLARKE Supervising Prescribing Practitioner Medical Doctor 140862 11/01/2023
HAMPTON, WESTON WAYNE Supervising Prescribing Practitioner Medical Doctor 157622 09/15/2023
HANEY, MARISA LIANA Supervising Prescribing Practitioner Medical Doctor 106073 08/01/2023
HATHCOCK, AMBER MARIE Supervising Prescribing Practitioner Medical Doctor 152148 09/15/2023
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 08/15/2020
HUME, ERIK TIMOTHY DO Supervising Prescribing Practitioner Osteopathic Physician 17391 09/15/2023
JEAN-BAPTISTE, NAOMI Supervising Prescribing Practitioner Medical Doctor 137930 03/01/2023
KLEINMAN, DANA Supervising Prescribing Practitioner Osteopathic Physician 11037 07/24/2021
LUDWIG, RICHARD EUGENE Supervising Prescribing Practitioner Physician Assistant 9102456 11/01/2023
MAHON, BENJAMIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 114305 08/02/2022
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 03/01/2023
MILEY, KASIA Supervising Prescribing Practitioner Medical Doctor 152375 12/01/2023
MOURSI, HOUSAM DO Supervising Prescribing Practitioner Osteopathic Physician 7173 07/25/2021
NEWHALLER, DANIEL J Supervising Prescribing Practitioner Osteopathic Physician 5594 08/18/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/31/2021
NWAUCHE, UGWUALA Supervising Prescribing Practitioner Medical Doctor 140368 09/02/2021
ORBEZO, ANED M Supervising Prescribing Practitioner Medical Doctor 95479 08/01/2021
PARKS, THOMAS EDWARD Supervising Prescribing Practitioner Physician Assistant 9105210 11/01/2023
PERFETTI, JOYCE Supervising Prescribing Practitioner Osteopathic Physician 15807 06/23/2022
PILGRIM, RANDAL LEE MD Supervising Prescribing Practitioner Medical Doctor 62374 07/24/2021
REHMAN, ARIF UR Supervising Prescribing Practitioner Medical Doctor 83632 01/07/2023
RENNIE, CHAD TROY Supervising Prescribing Practitioner Medical Doctor 151065 09/02/2021
SANTIAGO-APONTE, RAFAEL A Supervising Prescribing Practitioner Medical Doctor 114771 08/31/2021
SCHWARTZ, MATTHEW ABRAM Supervising Prescribing Practitioner Medical Doctor 135491 01/10/2023
SCOTT, DAVID Supervising Prescribing Practitioner Medical Doctor 143679 01/10/2023
SELLEY, JEREMY KENT Supervising Prescribing Practitioner Osteopathic Physician 13512 02/01/2023
SHAH, SHIRALI Supervising Prescribing Practitioner Medical Doctor 134469 01/10/2023
SIMPSON, ALISON L Supervising Prescribing Practitioner Medical Doctor 74810 01/10/2023
SMITH, JAMES RONALD Supervising Prescribing Practitioner Medical Doctor 88216 07/28/2021
SNEAD, THOMAS LEE II Supervising Prescribing Practitioner Medical Doctor 116520 01/10/2023
STAFF, KRISTINE E Supervising Prescribing Practitioner Medical Doctor 117924 01/10/2023
STRICKLEN, HILLARY E Supervising Prescribing Practitioner Osteopathic Physician 13908 05/01/2023
TAVERAS, ANABELLE NATALIA Supervising Prescribing Practitioner Medical Doctor 148550 11/01/2022
THOMAS, SHERWIN ZACHARIAH Supervising Prescribing Practitioner Medical Doctor 149747 01/01/2023
TIMMEL, MARK Supervising Prescribing Practitioner Medical Doctor 151869 01/01/2023
TIRHEIMER, WENZEL III Supervising Prescribing Practitioner Medical Doctor 83294 01/19/2023
UMANSKY, AARON JOSEPH Supervising Prescribing Practitioner Medical Doctor 151420 01/10/2023
VIK, DAVID FRANCIS Supervising Prescribing Practitioner Medical Doctor 131797 08/01/2021
WALLACE, STEVEN GREGORY JR Supervising Prescribing Practitioner Physician Assistant 9107761 06/28/2023

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No Continuing Education Hours Received from Approved Providers As Of 5/17/2024



* 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.


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