License Verification

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KEELEY SARAH DIVITA

License Number: PA9116784

Data As Of 11/16/2024

Profession
Physician Assistant
License
PA9116784
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
11/09/2022
Address of Record
4500 Newberry Rd
GAINESVILLE, FL 32605
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
ANTONY, AJAY BERRY M D Supervising Prescribing Practitioner Medical Doctor 125276 10/01/2023
CHANDRA, RAVI MD Supervising Prescribing Practitioner Medical Doctor 59502 11/10/2022
ORLOVA, KSENIA Supervising Prescribing Practitioner Medical Doctor 160459 06/01/2023

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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 11/16/2024



* 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.