License Verification

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KHADIJAH GAFFAR

License Number: PA9110656

Data As Of 9/28/2024

Profession
Physician Assistant
License
PA9110656
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/13/2017
Address of Record
500 Winderley Pl # 115
MAITLAND, FL 32751
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
601 E Rollins Street AdventHealth Orlando-EM
ORLANDO, FL 32803-1248
Name Relationship Profession License Effective Date
CAMACHO-ACEVEDO, LESLIE ROSIE Supervising Prescribing Practitioner Medical Doctor 125213 09/01/2017
O'BRIEN, PAUL BLAKE MD Supervising Prescribing Practitioner Medical Doctor 95514 09/23/2022
PELUSO, VANESSA CHRISTINE Supervising Prescribing Practitioner Medical Doctor 89189 09/01/2017

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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 9/28/2024



* 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.


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.