License Verification

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MANUEL MICHAEL LAM

License Number: ME135096

Data As Of 11/25/2024

Profession
Medical Doctor
License
ME135096
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/26/2018
Address of Record
7200 NW 7th St
Suite 150
MIAMI, FL 33126
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
4218 E 4th Avenue
HIALEAH, FL 33013
Address
4767 NW 183rd Street
MIAMI GARDENS, FL 33055
Address
10980 SW 184th Street
MIAMI, FL 33157
Address
11825 SW 26th Street
MIAMI, FL 33175
Address
1149 SW 27th Avenue
MIAMI, FL 33135
Address
900 W 49th Street Suite 308
HIALEAH, FL 33012
Address
900 W 49th Street Suite 101
HIALEAH, FL 33012
Address
7200 NW 7th St Suite 202
MIAMI, FL 33126
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
DIAZ, JASON LEE Dispensing Physician Assistant Physician Assistant 9115038 6/7/2023
DIAZ, JASON LEE Prescribing Physician Assistant Physician Assistant 9115038 6/7/2023
ROQUE, NORMA B Dispensing Physician Assistant Physician Assistant 9108145 1/2/2020
ROQUE, NORMA B Prescribing Physician Assistant Physician Assistant 9108145 1/2/2020
WOLAK, DANNY Pharmacist Pharmacist 63826 9/11/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/25/2024



* 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.


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