License Verification

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SHAHANA ALI

License Number: PA9112834

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9112834
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/12/2019
Address of Record
1615 E highway 50
CLERMONT, FL 34711
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3581 SW Archer Road Suite 40
GAINESVILLE, FL 32608
Address
3925 NW 43rd Street
GAINESVILLE, FL 32606
Address
2415 SW College Road
OCALA, FL 34471
Address
720 SW 2nd Avenue Suite 160A
GAINESVILLE, FL 32601
Address
512 East Altamonte Drive Suite 1000
ALTAMONTE SPRINGS, FL 32701
Address
3840 East State Road 436 Suite 1000
APOPKA, FL 32703
Address
7751 Kingspointe Pkwy Suite 114
ORLANDO, FL 32819
Address
1414 E Oscoela Pkwy
KISSIMMEE, FL 34744
Address
136 Parliament Loop Suite 1020
LAKE MARY, FL 32746
Address
2555 S Kirkman Road
ORLANDO, FL 32811
Address
2323 South Orange Avenue
ORLANDO, FL 32806
Address
5355 RedBug Lake Road
WINTER SPRINGS, FL 32708
Address
968 W Mitchell Hammock Road Suite 1050
OVIEDO, FL 32765
Address
10959 West Colonial Drive Unit 6 & 8
OCOEE, FL 34761
Address
8132 Lee Vista Blvd Suite B
ORLANDO, FL 32829
Address
1615 East Highway 50 Suite 200
CLERMONT, FL 34711
Name Relationship Profession License Effective Date
COOPERSTEIN, GARY ALAN Supervising Dispensing Practitioner Osteopathic Physician 15659 07/23/2020
COOPERSTEIN, GARY ALAN Supervising Prescribing Practitioner Osteopathic Physician 15659 07/23/2020
ELLOWAY, RICHARD LUKE M D Supervising Prescribing Practitioner Medical Doctor 125695 07/14/2020

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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 11/22/2024



* 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.