License Verification

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TARA DAWN LOUKA

License Number: PA9111974

Data As Of 5/4/2025

Profession
Physician Assistant
License
PA9111974
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/16/2019
Address of Record
399 9th St N STE 300
NAPLES, FL 34102
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
11190 Health Park Blvd.
NAPLES, FL 34110
Address
350 7th 87 N
NAPLES, FL 34102
Address
3302 Bonita Beach Rd #170
BONITA SPRINGS, FL 34134
Name Relationship Profession License Effective Date
AXLINE, DAVID ROBERT Supervising Dispensing Practitioner Medical Doctor 66128 07/31/2019
AXLINE, DAVID ROBERT Supervising Prescribing Practitioner Medical Doctor 66128 07/31/2019

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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.