License Verification

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CAROLINE ELIZABETH HENIKA

License Number: PA9115713

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9115713
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/18/2022
Address of Record
10920 Mckinely Dr.
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
CZERNIECKI, BRIAN JOSEPH Supervising Prescribing Practitioner Medical Doctor 129379 12/21/2023
KHAKPOUR, NAZANIN Supervising Prescribing Practitioner Medical Doctor 100313 12/27/2023
KRUPER, LAURA Supervising Prescribing Practitioner Medical Doctor 159922 12/18/2023
MALLORY, MELISSA ANNE Supervising Prescribing Practitioner Medical Doctor 145143 12/21/2023

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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 11/22/2024



* 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.