License Verification

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BRIAN MATTHEW ROSA

License Number: PA9108708

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9108708
License Status
OBLIGATIONS/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/05/2015
Address of Record
5798 38th Avenue North
ST. PETERSBURG, FL 33710
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date
FANA, MIGUEL A JR Supervising Dispensing Practitioner Medical Doctor 80639 11/26/2019
FANA, MIGUEL A JR Supervising Prescribing Practitioner Medical Doctor 80639 11/26/2019
SINGH, PARIKSITH Supervising Dispensing Practitioner Medical Doctor 71088 11/26/2019
VELASQUEZ, RAFAEL MARTIN Supervising Prescribing Practitioner Medical Doctor 119208 11/26/2019

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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

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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.


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.