License Verification

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DUNIA SELMIRA BLANCO

License Number: PA9107540

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9107540
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/24/2013
Address of Record
1125 S Sixth ave
Sonni Pediatrics, INC
WAUCHULA, FL 33873
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
344 E. ROYAL PALM ST. STE 3 HEARTLAND PEDIATRICS OF LAKE PLACID
LAKE PLACID, FL 33852
Address
1571 US highway 27 North Avon Park Pediatric
AVON PARKS, FL 33825
Address
1354 State Road 60 E Heartland Pediatric Assoc
LAKE WALES, FL 33853
Name Relationship Profession License Effective Date
PEREZ, MARIA CAROLINA MD Supervising Prescribing Practitioner Medical Doctor 107550 02/05/2018
SONNI, RAJESWARI Supervising Prescribing Practitioner Medical Doctor 33065 02/05/2018

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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 11/22/2024



* 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.


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