License Verification

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SULTAN AKHMED MIRZA

License Number: ME135477

Data As Of 4/25/2025

Profession
Medical Doctor
License
ME135477
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
03/01/2018
Address of Record
32615 US Hwy 19 N
Ste 1
PALM HARBOR, FL 34684
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
14153 Yosemite Dr. Ste 101
HUDSON, FL 34667
Address
525 N Dacie Point
LECANTO, FL 34461
Address
5200 Seminole Blvd.
SAINT PETERSBURG, FL 33708
Address
14095 Cortez Blvd
BROOKSVILLE, FL 34613
Address
11200 Seminole Blvd Ste 205
LARGO, FL 33778
Address
8787 Bryan Dairy Rd Ste 360
LARGO, FL 33778
Address
2467 Enterprise Rd Suite A
CLEARWATER, FL 33763
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BUSSEY, JESSICA ANNE Dispensing Physician Assistant Physician Assistant 9109724 12/18/2023
BUSSEY, JESSICA ANNE Prescribing Physician Assistant Physician Assistant 9109724 12/18/2023
MORENO, ERIC POLO Prescribing Physician Assistant Physician Assistant 9115086 11/29/2023
STOUGH, JOSHUA DEA Dispensing Physician Assistant Physician Assistant 9117649 12/18/2023
STOUGH, JOSHUA DEA Prescribing Physician Assistant Physician Assistant 9117649 12/18/2023

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 4/25/2025



* 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.