License Verification

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GRACIELLA RIVERA-GUZMAN

License Number: PA9100010

Data As Of 11/25/2024

Profession
Physician Assistant
License
PA9100010
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/17/1998
Address of Record
651 EAST 25TH ST.
HIALEAH HOSPITAL
HIALEAH, FL 33013
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8500 SW 92 N 101 DRS DEMORIZI & POLANCO MD
MIAMI, FL 33156
Name Relationship Profession License Effective Date
KIRPALANI, SHAILA BHAGWAN Supervising Prescribing Practitioner Medical Doctor 109611 02/25/2020

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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 11/25/2024



* 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.