License Verification

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M CATHERINE BRODERICK

License Number: PA9106676

Data As Of 4/27/2024

Profession
Physician Assistant
License
PA9106676
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/12/2012
Address of Record
EPCF 3090 Caruso Court Suit 20
ORLANDO, FL 32806
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Four Corners FSED 16966 Cagan North Ridge Road
CLERMONT, FL 34714
Address
Blue Cedar FSED 22316 US 27
LEESBURG, FL 34748
Address
South Lake Hospital 1900 Don Wickham
CLERMONT, FL 34711
Name Relationship Profession License Effective Date

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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 4/27/2024



* 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.