License Verification

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PETER AIAD SAMUEL

License Number: ME132116

Data As Of 10/18/2026

Profession
Medical Doctor
License
ME132116
License Status
Clear/Active
Qualifications
STATE OF PRINCIPAL LICENSURE
License Expiration Date
1/31/2027
License Original Issue Date
04/17/2017
Address of Record
5421 Beaumont Center Blvd.
Suite 660
TAMPA, FL 33634
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
FASIUDDIN, NAJAM Supervising Prescribing Practitioner Osteopathic Physician 15006 01/10/2023
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 01/10/2023
FORTSON, SEAN JAMISON Supervising Prescribing Practitioner Osteopathic Physician 8702 01/10/2023
FRANCIS, JEFFREY Supervising Prescribing Practitioner Medical Doctor 155906 01/10/2023

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Name Relationship Profession License Effective Date
HENSCHEL, KELSEY MARIE Prescribing Physician Assistant Physician Assistant 9120419 9/1/2026

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/18/2026



* 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.