License Verification

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NICOLE USSIA

License Number: PA9116817

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9116817
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/01/2022
Address of Record
13670 Walsingham Rd
LARGO, FL 33774
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
PATEL, RUCHA KHARWA Supervising Prescribing Practitioner Medical Doctor 140610 05/19/2023
VAKHARIA, RUSHABH Supervising Prescribing Practitioner Medical Doctor 128690 05/21/2023
WALDREP, NATHAN KEITH Supervising Dispensing Practitioner Medical Doctor 58834 07/03/2023
WALDREP, NATHAN KEITH Supervising Prescribing Practitioner Medical Doctor 58834 07/03/2023

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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.