License Verification

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CHELSEA LILES

License Number: PA9112179

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9112179
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/30/2019
Address of Record
Rothman Orthopaedics
7975 Lake Underhill Road
Ste 330
ORLANDO, FL 32822
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
AdventHealth Centra Care Orthopaedic Urgent Care Winter Park 2325 W. Fairbanks Ave, Ste 2
WINTER PARK, FL 32789
Name Relationship Profession License Effective Date
AHMED, ATIF K Supervising Prescribing Practitioner Medical Doctor 149424 08/02/2022
DURFEE, RYAN ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 129229 08/02/2022
HAWKS, MICHAEL ANTHONY Supervising Prescribing Practitioner Medical Doctor 104554 08/02/2022
HENDRIX, TIMOTHY WAYNE Supervising Dispensing Practitioner Medical Doctor 65142 07/14/2022
MEZZANOTTE, THOMAS JOSEPH Supervising Prescribing Practitioner Medical Doctor 99006 03/15/2023

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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 11/21/2024



* 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.