License Verification

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TASHANYA CAMPOS

License Number: PA9114037

Data As Of 9/28/2024

Profession
Physician Assistant
License
PA9114037
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/03/2021
Address of Record
464 North Alafaya Trail
Ste. 108
ORLANDO, FL 32828
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
45 West Crystal Lake St. Ste. 197
ORLANDO, FL 32806
Name Relationship Profession License Effective Date
AHMED, ATIF K Supervising Prescribing Practitioner Medical Doctor 149424 05/01/2021
DOWNING, JEFFREY ADAM Supervising Dispensing Practitioner Osteopathic Physician 7708 07/01/2022
DOWNING, JEFFREY ADAM Supervising Prescribing Practitioner Osteopathic Physician 7708 06/01/2022
DURFEE, RYAN ANTHONY M D Supervising Prescribing Practitioner Medical Doctor 129229 05/01/2021
HAWKS, MICHAEL ANTHONY Supervising Prescribing Practitioner Medical Doctor 104554 05/01/2021
MCCLEARY, MICHAEL DOUGLAS Supervising Dispensing Practitioner Medical Doctor 98424 07/20/2022
MCCLEARY, MICHAEL DOUGLAS Supervising Prescribing Practitioner Medical Doctor 98424 08/22/2022
PEPPER, ANDREW MICHAEL Supervising Prescribing Practitioner Medical Doctor 136271 05/20/2021

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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 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.