License Verification

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AMANDA PAIGE KAUFFMAN

License Number: PA9111234

Data As Of 6/1/2024

Profession
Physician Assistant
License
PA9111234
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/20/2018
Address of Record
12902 Magnolia Drive
TAMPA, FL 33612
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
AFIAT, THANH-PHUONG NGUYEN Supervising Prescribing Practitioner Medical Doctor 138585 12/01/2022
AHMED, SEEMA S Supervising Prescribing Practitioner Medical Doctor 149166 10/02/2023
AWAD, SAID ABDELHAKIM Supervising Prescribing Practitioner Medical Doctor 133306 02/24/2023
BHATIA, NIKHIL Supervising Prescribing Practitioner Medical Doctor 157066 01/31/2022
FELDER, SETH Supervising Prescribing Practitioner Medical Doctor 132608 11/05/2021
GLOVER, JESSICA RENEE Supervising Prescribing Practitioner Medical Doctor 146166 10/02/2023
HEMBREE, TIMOTHY NELSON Supervising Prescribing Practitioner Osteopathic Physician 12077 11/01/2021
HOLMSTROM, BJORN Supervising Prescribing Practitioner Medical Doctor 91170 11/01/2021
JALALI, SAMUEL Supervising Prescribing Practitioner Medical Doctor 143719 11/11/2021
KEERTY, DINESH Supervising Prescribing Practitioner Medical Doctor 124796 03/14/2022
KHURANA, SONALI Supervising Prescribing Practitioner Medical Doctor 156406 08/29/2022
LEDBETTER, MARK Supervising Prescribing Practitioner Medical Doctor 150322 11/02/2021
MUSGRAVE, IAN KHRISTOFFER Supervising Prescribing Practitioner Medical Doctor 110650 10/24/2022
OTT, PAUL CARL Supervising Prescribing Practitioner Osteopathic Physician 18168 10/25/2021
PISKLAKOVA, ALEXANDRA Supervising Prescribing Practitioner Osteopathic Physician 18607 02/23/2023
ROSADO-ACEVEDO, YILMARIE Supervising Prescribing Practitioner Medical Doctor 144547 10/17/2022
SHARIFF, BUSHRA FATHIMA Supervising Prescribing Practitioner Osteopathic Physician 19696 07/10/2023
SKAF, GEORGE Supervising Prescribing Practitioner Medical Doctor 156276 06/19/2023
STEPMAN, GAUTHIER LUC Supervising Prescribing Practitioner Medical Doctor 153971 06/08/2023
SYED, MISBAHUDDIN Supervising Prescribing Practitioner Medical Doctor 128558 11/01/2021
VERMA, NEHA Supervising Prescribing Practitioner Medical Doctor 128361 11/02/2022
VINCENT, DEANNA HORST Supervising Prescribing Practitioner Medical Doctor 153254 08/30/2022
WESOLOW, JACQUELINE TANYA Supervising Prescribing Practitioner Osteopathic Physician 12792 11/01/2022
WINKLER, ADAM GRAYSON Supervising Prescribing Practitioner Medical Doctor 130793 03/16/2022
YALAMANCHILI, BHARATI DEVI Supervising Prescribing Practitioner Medical Doctor 123063 09/12/2023
YASUKAWA, KOSUKE Supervising Prescribing Practitioner Medical Doctor 157344 10/24/2022

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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 6/1/2024



* 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.