License Verification

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BLAIR THOMAS BURNS

License Number: PA9108236

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9108236
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/15/2014
Address of Record
12500 S Apopka Vineland Rd
ORLANDO, FL 32836
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
720 W Oak Street Ste 303
KISSIMMEE, FL 34741
Name Relationship Profession License Effective Date
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 09/15/2020
HENDRIX, TIMOTHY WAYNE Supervising Prescribing Practitioner Medical Doctor 65142 10/05/2020
HUYNH, DUSTIN HAU Supervising Prescribing Practitioner Medical Doctor 128076 05/26/2022

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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 11/21/2024



* 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.