License Verification

Printer Friendly Version

RANDALL EUGENE SCOTT

License Number: PA9103913

Data As Of 5/16/2024

Profession
Physician Assistant
License
PA9103913
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/15/2006
Address of Record
2200 Osprey Blvd
BARTOW, FL 33830
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
AGBI, ANDREW OMOH Supervising Prescribing Practitioner Osteopathic Physician 10970 06/24/2023
ALDAPE, ADOLFO ALEJANDRO Supervising Prescribing Practitioner Medical Doctor 126571 01/27/2022
ALZATE, ALBERTO ISAAC Supervising Prescribing Practitioner Medical Doctor 81335 01/27/2022
ANSARI, MASOOD UL-HASSAN Supervising Prescribing Practitioner Medical Doctor 76511 01/25/2023
ARRIAGA-ONEILL, YARITZA MD Supervising Prescribing Practitioner Medical Doctor 111529 01/27/2022
BARLOW, RYAN THOMAS Supervising Prescribing Practitioner Medical Doctor 149752 06/23/2023
BERMAN, RONALD Supervising Prescribing Practitioner Medical Doctor 79188 03/14/2024
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 11/16/2021
BOLTON, TONYA AMBER Supervising Prescribing Practitioner Osteopathic Physician 11846 05/16/2022
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 01/27/2022
DAWKINS, DONALD Supervising Prescribing Practitioner Osteopathic Physician 10160 01/27/2022
DEOCHAND, RAJIV Supervising Prescribing Practitioner Medical Doctor 165069 02/08/2024
ECHAGUE COLMAN, RAMON ANTONIO Supervising Prescribing Practitioner Medical Doctor 111476 01/27/2022
FARRELL, DANIEL RAYMOND MD Supervising Prescribing Practitioner Medical Doctor 99257 06/19/2023
FERNANDEZ OLIVERO, GERARDO ANDRES Supervising Prescribing Practitioner Medical Doctor 139063 11/07/2023
FISHER, ALLEN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 6992 11/16/2021
FOPPE, MARK ANDREW DO Supervising Prescribing Practitioner Osteopathic Physician 8701 01/27/2022
GOORLAND, JEFFREY Supervising Prescribing Practitioner Medical Doctor 136109 01/27/2022
GOYAL, KAMAL KUMAR MD Supervising Prescribing Practitioner Medical Doctor 132449 03/01/2023
HADDAD, JOE D O Supervising Prescribing Practitioner Osteopathic Physician 15867 11/08/2023
HANEY, MARISA LIANA Supervising Prescribing Practitioner Medical Doctor 106073 08/01/2023
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 01/28/2021
ISAKHAROV, MARGARITA Supervising Prescribing Practitioner Medical Doctor 117365 08/17/2023
JASIMUDDIN, SHEIKH KHWAJA Supervising Prescribing Practitioner Medical Doctor 100463 01/27/2022
JEAN-BAPTISTE, NAOMI Supervising Prescribing Practitioner Medical Doctor 137930 03/01/2023
KINSELLA, TIMOTHY Supervising Prescribing Practitioner Medical Doctor 159050 01/27/2022
KLEINMAN, DANA Supervising Prescribing Practitioner Osteopathic Physician 11037 11/16/2021
MAHON, BENJAMIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 114305 08/02/2022
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 01/27/2022
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 01/27/2022
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 11/16/2021
MOURSI, HOUSAM DO Supervising Prescribing Practitioner Osteopathic Physician 7173 11/16/2021
NEWHALLER, DANIEL J Supervising Prescribing Practitioner Osteopathic Physician 5594 11/16/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/02/2022
NWAUCHE, UGWUALA Supervising Prescribing Practitioner Medical Doctor 140368 11/16/2021
PALMA, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 116475 02/04/2024
PATEL, ANKIT B Supervising Prescribing Practitioner Medical Doctor 142112 01/27/2022
PILGRIM, RANDAL LEE MD Supervising Prescribing Practitioner Medical Doctor 62374 11/16/2021
PIRVAN, DANIEL FLAVIUS Supervising Prescribing Practitioner Medical Doctor 137055 01/27/2022
PRUITT, JAMES ALLEN Supervising Prescribing Practitioner Medical Doctor 142076 01/27/2022
PRYTKOV, ALEXEI MIKHAILOVICH Supervising Prescribing Practitioner Medical Doctor 123293 01/27/2022
PUREWAL, AMARPAL K Supervising Prescribing Practitioner Medical Doctor 121581 01/18/2024
REHMAN, ARIF UR Supervising Prescribing Practitioner Medical Doctor 83632 01/07/2023
RENNIE, CHAD TROY Supervising Prescribing Practitioner Medical Doctor 151065 11/16/2021
RESNICK, STEPHEN Supervising Prescribing Practitioner Osteopathic Physician 16417 01/27/2022
SANTIAGO-APONTE, RAFAEL A Supervising Prescribing Practitioner Medical Doctor 114771 11/16/2021
SHAPIRO, LAUREN Supervising Prescribing Practitioner Medical Doctor 149050 01/27/2022
SIDDIQUI, KHALID AZHAR MD Supervising Prescribing Practitioner Medical Doctor 82393 02/22/2021
SMITH, JAMES RONALD Supervising Prescribing Practitioner Medical Doctor 88216 11/16/2021
SNEAD, THOMAS LEE II Supervising Prescribing Practitioner Medical Doctor 116520 01/27/2022
SONNTAG, JOSEPH GERARD Supervising Prescribing Practitioner Osteopathic Physician 20350 05/01/2024
STRICKLEN, HILLARY E Supervising Prescribing Practitioner Osteopathic Physician 13908 05/01/2023
VELASCO, ANDRES FELIPE Supervising Prescribing Practitioner Medical Doctor 96936 06/24/2023
VERGARA, ROBERT JOHN CRUZ Supervising Prescribing Practitioner Medical Doctor 95775 11/17/2022
VIK, DAVID FRANCIS Supervising Prescribing Practitioner Medical Doctor 131797 11/16/2021
WALLACE, STEVEN GREGORY JR Supervising Prescribing Practitioner Physician Assistant 9107761 06/28/2023
ZIMMER, BRIAN Supervising Prescribing Practitioner Osteopathic Physician 18890 08/01/2022

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

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 5/16/2024



* 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.