License Verification

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LUIS E SALAZAR

License Number: PA9108095

Data As Of 11/4/2024

Profession
Physician Assistant
License
PA9108095
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/13/2014
Address of Record
7950 NW 2 st
MIAMI, FL 33126
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8888 SW 24th Street
MIAMI, FL 33165
Address
1440 NE 8th Street
HOMESTEAD, FL 33033
Name Relationship Profession License Effective Date
AGOSTINI-MIRANDA, ALEX A Supervising Prescribing Practitioner Medical Doctor 95555 12/02/2019
BORRERO-MENDOZA, ANDRES ELIAS MD Supervising Prescribing Practitioner Medical Doctor 140971 12/02/2019
BRONIAK, FREDERICK Supervising Prescribing Practitioner Osteopathic Physician 4948 12/02/2019
DIAZ, MIGUEL ANGEL Supervising Prescribing Practitioner Medical Doctor 120016 12/02/2019
DUNAVANT, SCOTT L MD Supervising Prescribing Practitioner Medical Doctor 109424 12/02/2019
GONZALEZ CARRILLO, ROYNEL Supervising Prescribing Practitioner Medical Doctor 108237 12/02/2019
MILLER, WENDI S Supervising Prescribing Practitioner Medical Doctor 110810 12/02/2019
NGUYEN, LINDA MAC Supervising Prescribing Practitioner Medical Doctor 112192 12/02/2019
NWOSU, HILARY C Supervising Prescribing Practitioner Medical Doctor 114167 12/02/2019
OLIVA, JOSEPH WAYNE Supervising Prescribing Practitioner Osteopathic Physician 10074 12/02/2019
SIVARAJ, THAMOTHARAMPILLA Supervising Prescribing Practitioner Medical Doctor 137260 12/02/2019
TRANCE, GARRETT Supervising Prescribing Practitioner Osteopathic Physician 9546 12/02/2019
WILSON, LATRESIA ANN Supervising Prescribing Practitioner Medical Doctor 87826 12/02/2019
YAVARI, MEHDY Supervising Prescribing Practitioner Osteopathic Physician 11235 12/02/2019

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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 11/4/2024



* 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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