License Verification

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MELANIE DA COSTA

License Number: PA9111633

Data As Of 4/25/2025

Profession
Physician Assistant
License
PA9111633
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/19/2018
Address of Record
1800 N Bayshore Dr
Unit 3702
MIAMI, FL 33132
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
ALI, SADIA Supervising Prescribing Practitioner Medical Doctor 126629 09/09/2024
BLOOM, MARTIN GLENN MD Supervising Dispensing Practitioner Medical Doctor 27887 06/08/2022
BLOOM, MARTIN GLENN MD Supervising Prescribing Practitioner Medical Doctor 27887 05/29/2019
SPANGLER, LEWIS DOUGLAS JR Supervising Prescribing Practitioner Medical Doctor 94177 04/22/2025

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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 4/25/2025



* 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.