License Verification

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KENNETH KING

License Number: OS8648

Data As Of 5/17/2024

Profession
Osteopathic Physician
License
OS8648
License Status
CLEAR/Active
License Expiration Date
3/31/2026
License Original Issue Date
03/18/2002
Address of Record
3625 UNIVERSITY BOULEVARD, S.
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2001 KINSLEY AVENUE
ORANGE PARK, FL 32073
Name Relationship Profession License Effective Date
STANTON, ZACHARY Supervising Prescribing Practitioner Osteopathic Physician 18142 07/14/2022
SUJAKUMAR, RAVISHANKER VILLAFLOR Supervising Prescribing Practitioner Osteopathic Physician 14228 07/25/2023

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Name Relationship Profession License Effective Date
BRUCE, MICHAEL THOMAS Prescribing Physician Assistant Physician Assistant 9109680 4/9/2018
CRISSMAN, WILLIAM WARD Prescribing Physician Assistant Physician Assistant 9105322 4/19/2018
DODSON, PATRICK RUSSELL Prescribing Physician Assistant Physician Assistant 9110653 5/23/2018
FEHR, LORI L Prescribing Physician Assistant Physician Assistant 9107477 5/17/2018
FORTNER, DENNIS LEROY III Prescribing Physician Assistant Physician Assistant 9105894 3/29/2018
GOINS, DAVID SCOTT Prescribing Physician Assistant Physician Assistant 9102736 3/20/2018
GREENLEY, CHARLES TRAVIS Prescribing Physician Assistant Physician Assistant 9105062 8/10/2023
HINSON, JACOB CODY Prescribing Physician Assistant Physician Assistant 9108842 9/19/2018
HINTON, JENNIFER MARIE Prescribing Physician Assistant Physician Assistant 9103166 5/9/2018
HOFFMAN, SUSAN Prescribing Physician Assistant Physician Assistant 9106725 4/13/2018
JURICH, ANGEL CHRISTINE Prescribing Physician Assistant Physician Assistant 9108136 4/9/2018
LUKACSA, THOMAS DAVID Prescribing Physician Assistant Physician Assistant 9104358 4/19/2018
MARTIN, AMBER REBEKAH Prescribing Physician Assistant Physician Assistant 9103989 3/27/2018
MCCAFFREY, JENNIFER Prescribing Physician Assistant Physician Assistant 9109282 4/26/2018
MCINTOSH, MARK STEPHEN Subordinate Medical Doctor 89160 3/1/2018
MCNEW, FREDERICK JASON Prescribing Physician Assistant Physician Assistant 9102191 4/3/2018
MOFFATT, MEGAN H Prescribing Physician Assistant Physician Assistant 9106786 4/12/2018
MORGAN, DANIEL MUZON Prescribing Physician Assistant Physician Assistant 9107682 3/30/2018
NICOLOSO, FRANCESCA MARINA Prescribing Physician Assistant Physician Assistant 9107277 4/26/2018
PFAFF, RUTH ANNE Prescribing Physician Assistant Physician Assistant 9110750 4/12/2018
RITCHIE, MARK SALVATORE Prescribing Physician Assistant Physician Assistant 9107818 12/10/2018
ROBINSON, CINDY LIZ Prescribing Physician Assistant Physician Assistant 9104267 3/20/2018
SASSO, LEONARD GERARD Prescribing Physician Assistant Physician Assistant 9105451 5/15/2018
SMITH, CAROLINE OLGA Prescribing Physician Assistant Physician Assistant 9106283 3/30/2018
STORK, JERRY LEE JR Prescribing Physician Assistant Physician Assistant 9103513 12/20/2018
UZELAC, KERSTIN A Prescribing Physician Assistant Physician Assistant 9106845 5/11/2018
WARD, MATTHEW MORGAN Prescribing Physician Assistant Physician Assistant 9108249 4/13/2018
WARD, WILLIAM ALBERT Prescribing Physician Assistant Physician Assistant 9108936 4/19/2018
WATERS, DOUGLAS LEE Prescribing Physician Assistant Physician Assistant 9106355 3/29/2018
WEAVER, ADAM CHRISTOPHER Prescribing Physician Assistant Physician Assistant 9103017 4/9/2018

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Name Relationship Profession License Effective Date

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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.


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.