License Verification

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HEATHER TATE

License Number: PA9110573

Data As Of 6/6/2025

Profession
Physician Assistant
License
PA9110573
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
08/23/2017
Address of Record
6006 49th St. N, Suite 200
ST. PETERSBURG, FL 33709
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3575 GULF BLVD #302
ST PETE BEACH, FL 33706
Address
1615 Pasadena Ave S, Suite 300 The Heart Institution
SAINT PETERSBURG, FL 33707
Name Relationship Profession License Effective Date
ABDUL JABBAR, ALI Supervising Dispensing Practitioner Medical Doctor 132123 01/18/2019
ABDUL JABBAR, ALI Supervising Prescribing Practitioner Medical Doctor 132123 01/18/2019
SANCHEZ, ROBERT Supervising Prescribing Practitioner Medical Doctor 59749 11/01/2017
WILSON, CHRISTOPHER H DO Supervising Prescribing Practitioner Osteopathic Physician 10215 03/07/2018

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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 6/6/2025



* 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.