License Verification

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EVELYN REYES

License Number: PA9108829

Data As Of 10/27/2026

Profession
Physician Assistant
License
PA9108829
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
07/21/2015
Address of Record
3090 Caruso CT
STE 20, MP 156
ORLANDO, FL 32806
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2465 N Orange Blossom Trail
KISSIMMEE, FL 34744
Name Relationship Profession License Effective Date
CLARFIELD, THEODORE HARRISON Supervising Prescribing Practitioner Medical Doctor 139649 10/20/2026
COOK, LISA Supervising Prescribing Practitioner Medical Doctor 140990 10/20/2026
DE LA RIVA, MICHELLE ELIZABETH Supervising Prescribing Practitioner Medical Doctor 113642 10/20/2026
DE LEON, MARIA VISITACION Supervising Prescribing Practitioner Medical Doctor 84304 10/20/2026
GIPSON, CARMINE Supervising Prescribing Practitioner Medical Doctor 76607 10/20/2026
GULATI, VISHAL KUMAR MD Supervising Prescribing Practitioner Medical Doctor 136313 10/20/2026
LUCAS, EDWARD J Physician Medical Doctor 75244 07/09/2024
MARTIN, JOHN AMELIO JR Supervising Prescribing Practitioner Medical Doctor 77880 10/20/2026
RITCHEY ARAYA, STEVEN Supervising Prescribing Practitioner Medical Doctor 140821 10/20/2026

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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 10/27/2026



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** 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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