License Verification

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PEGGY FREDERIQUE-BELL

License Number: PA9101972

Data As Of 5/2/2024

Profession
Physician Assistant
License
PA9101972
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/13/2002
Address of Record
OSCEOLA REGIONAL MEDICAL CENTE
700 WEST OAK STREET
KISSIMMEE, FL 34741
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
325 CYPRESS PKWY POINCIANA MEDICAL CENTER
KISSIMMEE, FL 34759
Address
1404 W. SEMINOLE BLVD CENTRAL FLORIDA REGIONAL HOSPITAL
SANFORD, FL 32771
Address
11375 Cortez Blvd Oak Hill Hospital
BROOKSVILLE, FL 34613
Address
1425 Malabar Road NE Palm Bay Hospital
PALM BAY, FL 32907
Address
1350 S Hickory Street Holmes Regional Medical Center
MELBOURNE, FL 32901
Address
4056 MILLENIA BLVD
ORLANDO, FL 32839
Address
4056 MILLENIA BLVD
ORLANDO, FL 32839
Address
8300 Red Bug Lake Rd
OVIEDO, FL 32765
Address
8300 Red Bug Lake Rd
OVIEDO, FL 32765
Address
2190 Highway 85N
NICEVILLE, FL 32578
Address
449 W. 23rd St
PANAMA CITY, FL 32405
Address
1000 Mar Walt Dr.
FORT WALTON BEACH, FL 32547
Address
11375 Cortez Blvd
BROOKSVILLE, FL 34613
Address
1431 SW First Ave
OCALA, FL 34471
Address
119 Oakfield Drive
BRANDON, FL 33511
Address
502 West Highland Blvd
INVERNESS, FL 34452
Address
325 Cypress Pkwy
KISSIMMEE, FL 34759
Address
1404 W. Seminole Blvd
SANFORD, FL 32771
Name Relationship Profession License Effective Date
AGOSTO DIAZ, EDIL J Supervising Prescribing Practitioner Medical Doctor 102761 10/26/2022
BANAPOOR, BENJAMIN Supervising Prescribing Practitioner Medical Doctor 156442 10/25/2022
BRONSTEMA, CLARENCE JAMES DO Supervising Prescribing Practitioner Osteopathic Physician 9722 10/25/2022
BROWN, MARTY RAY M D Supervising Prescribing Practitioner Medical Doctor 75648 10/25/2023
JOCKOVICH, MILAN MD Supervising Prescribing Practitioner Medical Doctor 65559 10/25/2022
LIN, EDWARD C Supervising Prescribing Practitioner Osteopathic Physician 11547 07/01/2021
PIRAZZI-MARQUEZ, BEATRIZ M Supervising Prescribing Practitioner Medical Doctor 102083 04/20/2023
REHAK, CHRISTOPHER STEPHEN Supervising Prescribing Practitioner Medical Doctor 78080 10/25/2022
ST CLAIR, AARON LEE Supervising Prescribing Practitioner Medical Doctor 106075 10/25/2022
VAZQUEZ, JOHNNY J Supervising Prescribing Practitioner Medical Doctor 97644 10/25/2022

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
BIGGS, FREDERICK SCOTT Prescribing Physician Assistant Physician Assistant 9103660 8/1/2021
VOGT, JASON M Prescribing Physician Assistant Physician Assistant 9107868 8/1/2021

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 5/2/2024



* 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.