License Verification

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SHAMITA PATEL

License Number: PA9108455

Data As Of 6/19/2025

Profession
Physician Assistant
License
PA9108455
License Status
Clear/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/22/2014
Address of Record
4238 W. Kennedy Blvd
ACADEMIC ALLIANCE IN DERMATOLOGY
TAMPA, FL 33609
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3165 N MCMULLEN BOOTH RD, ACADEMIC ALLIANCE IN DERMATOLOGY BLDG B
CLEARWATER, FL 33761
Address
1005 E BOYER ST ACADEMIC ALLIANCE IN DERMATOLOGY
TARPON SPRINGS, FL 34689
Address
2412 CYPRESS GLENN DR, ACADEMIC ALLIANCE IN DERMATOLOGY STE 102
WESLEY CHAPEL, FL 33544
Address
131 N OAKWOOD AVE STE 135 ACADEMIC ALLIANCE IN DERMATOLOGY
BRANDON, FL 33510
Address
5210 Webb Rd ACADEMIC ALLIANCE IN DERMATOLOGY
TAMPA, FL 33615
Address
1201 S MYRTLE AVE ACADEMIC ALLIANCE IN DERMATOLOGY
CLEARWATER, FL 33756
Address
3950 3RD ST NORTH STE A ACADEMIC ALLIANCE IN DERMATOLOGY
SAINT PETERSBURG, FL 33703
Address
646 VIRGINIA ST STE 201 ACADEMIC ALLIANCE IN DERMATOLOGY
DUNEDIN, FL 34698
Address
13321 N 56TH STREET ACADEMIC ALLIANCE IN DERMATOLOGY
TEMPLE TERRACE, FL 33617
Address
13910 FIVAY RD. STE 5 ACADEMIC ALLIANCE IN DERMATOLOGY
HUDSON, FL 34667
Address
2044 TRINITY OAKS BLVD, ACADEMIC ALLIANCE IN DERMATOLOGY STE 222
TRINITY, FL 34655
Name Relationship Profession License Effective Date
MCMEEKIN, THOMAS OWEN Supervising Dispensing Practitioner Medical Doctor 141554 01/01/2021
MCMEEKIN, THOMAS OWEN Supervising Prescribing Practitioner Medical Doctor 141554 01/28/2021
VASILOUDES, PANAYIOTIS Supervising Dispensing Practitioner Medical Doctor 78436 04/22/2016
VASILOUDES, PANAYIOTIS Supervising Prescribing Practitioner Medical Doctor 78436 04/22/2016

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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 6/19/2025



* 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.