License Verification

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VICTORIA OTERO MILLER

License Number: PA9100960

Data As Of 5/31/2024

Profession
Physician Assistant
License
PA9100960
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/28/1999
Address of Record
108 Bartram Oaks Walk
STE 201
JACKSONVILLE, FL 32223
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
108 Batram Oaks Walk Suite 201
JACKSONVILLE, FL 32259
Address
11512 Lake Mead Avenue James Hardy Plastic Surgery
JACKSONVILLE, FL 32256
Name Relationship Profession License Effective Date
HARDY, JAMES EDWARD III Supervising Dispensing Practitioner Medical Doctor 99174 03/05/2020
HARDY, JAMES EDWARD III Supervising Prescribing Practitioner Medical Doctor 99174 03/05/2020
MOBLEY, DAVID W Supervising Prescribing Practitioner Medical Doctor 20849 10/01/2020

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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.