License Verification

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SHAMA PATEL

License Number: ME145220

Data As Of 9/28/2024

Profession
Medical Doctor
License
ME145220
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/23/2020
Address of Record
655-1 8th West Street
JACKSONVILLE, FL 32209
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
GHALI, SAMA Supervising Prescribing Practitioner Medical Doctor 147065 11/23/2020
GHALI, SAMA Supervisor Medical Doctor 147065 11/13/2020

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Name Relationship Profession License Effective Date
ANDREWS, ADRIAN ANTHONY Prescribing Physician Assistant Physician Assistant 9103249 4/24/2020
EISMONT, TRACEY JEAN Prescribing Physician Assistant Physician Assistant 3182 6/30/2023
GABY, CHRISTINA Prescribing Physician Assistant Physician Assistant 9107129 5/8/2020
GAVLIK, MORGAN PAIGE Prescribing Physician Assistant Physician Assistant 9110306 8/14/2020
JARAMILLO, DAVID HERNANDO Prescribing Physician Assistant Medical Doctor 96063 8/20/2020
JARAMILLO, DAVID HERNANDO Subordinate Medical Doctor 96063 8/17/2020
KERZHNER, EDUARD Prescribing Physician Assistant Physician Assistant 9111996 5/3/2020
LAMBERT, CAITLYN Prescribing Physician Assistant Physician Assistant 9109920 5/8/2020
MANNIX, ALEXANDRA LEIGH Prescribing Physician Assistant Medical Doctor 135601 8/14/2020
MURTAGH, ALYSSA Prescribing Physician Assistant Physician Assistant 9111011 5/8/2020
NAVARRO, SONJA RENEE Prescribing Physician Assistant Physician Assistant 9106029 4/20/2020
NGUYEN, MICHAEL TUAN Prescribing Physician Assistant Physician Assistant 9107834 5/8/2020
NICOLOSO, FRANCESCA MARINA Prescribing Physician Assistant Physician Assistant 9107277 5/8/2020
PEHLIVANOVIC, MIRNA Prescribing Physician Assistant Physician Assistant 9110562 5/8/2020
ROBERTS, SHERRI LIAS Prescribing Physician Assistant Physician Assistant 9103186 4/20/2020
SABIN, JESSICA MARIE Prescribing Physician Assistant Physician Assistant 9106382 5/2/2020
SHIRLEY, KALEENA LYNN Prescribing Physician Assistant Physician Assistant 9109143 5/8/2020
SKERBETZ, RYAN Prescribing Physician Assistant Physician Assistant 9109942 5/8/2020
SPEED DIERSING, ELIZABETH ANNE Prescribing Physician Assistant Physician Assistant 9104503 4/20/2020
THOMAS, DERRELL MURRELL Prescribing Physician Assistant Physician Assistant 3361 5/8/2020
WILSON, JAMIE LYNN Prescribing Physician Assistant Physician Assistant 9107414 5/8/2020

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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.