License Verification

Printer Friendly Version

BEN JOHNS VADASSERIL

License Number: ME143447

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME143447
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
12/12/2019
Address of Record
4300 Alton Road
MIAMI BEACH, FL 33140
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

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

Name Relationship Profession License Effective Date
DIENELL, KATIE Prescribing Physician Assistant Physician Assistant 9117206 2/9/2024
DUQUESNAY, DANIELLE AMANDA Prescribing Physician Assistant Physician Assistant 9108492 8/1/2021
INNIS, JAMIE Prescribing Physician Assistant Physician Assistant 9111601 8/1/2021
KIMBLE, TIFFANY ANNE Prescribing Physician Assistant Physician Assistant 9105875 2/9/2024
PEDOUSSAUT, LAURA Prescribing Physician Assistant Physician Assistant 9111939 8/1/2021
PUTMAN, LESLIE SUE Prescribing Physician Assistant Physician Assistant 3042 2/9/2024
RAZZAQ, MARIA Prescribing Physician Assistant Physician Assistant 9111979 2/9/2024
UMANSKY, BETH LAUREN Prescribing Physician Assistant Physician Assistant 9107407 2/9/2024

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 11/22/2024



* 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.