License Verification

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KATHRYN DIANNE MICHELLE HERDEN

License Number: PA9110990

Data As Of 5/4/2025

Profession
Physician Assistant
License
PA9110990
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/02/2018
Address of Record
7560 Red Bug Lake Road
Suite 2048
OVIEDO, FL 32765
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AYADI, JAUVID BEHRAM Supervising Prescribing Practitioner Medical Doctor 73774 07/06/2018
DUMBACHER, PERRI LEE MD Supervising Prescribing Practitioner Medical Doctor 60508 01/21/2022
GOYAL, ANAY Supervising Prescribing Practitioner Medical Doctor 89142 07/09/2018
KALAN, PRAKASH POPAT Supervising Prescribing Practitioner Medical Doctor 74866 07/09/2018
OWEN, MATTHEW BRYCE Supervising Prescribing Practitioner Osteopathic Physician 9450 07/09/2018
POWERS, ROBERT BENJAMIN Supervising Prescribing Practitioner Osteopathic Physician 9766 07/09/2018

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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 5/4/2025



* 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.