License Verification

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ANISA MUSALLAM

License Number: PA9114230

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9114230
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/23/2021
Address of Record
9162 Glades Rd
BOCA RATON, FL 33467
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
8724 Lake Worth Rd Suite 600
LAKE WORTH, FL 33467
Address
8931 W Atlantic Blvd
CORAL SPRINGS, FL 33071
Name Relationship Profession License Effective Date
ARIF, SHAHAN G Supervising Prescribing Practitioner Medical Doctor 152164 05/24/2024
SALEHI, SHARIF O MD Supervising Prescribing Practitioner Medical Doctor 72659 09/26/2022

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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.