License Verification

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MOUAZ TAWAM

License Number: ME65619

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME65619
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
02/03/1994
Address of Record
2080 Oakley Seaver Dr
Suite 120 & 130
CLERMONT, FL 34711
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
COVELLI, CHRISTINA RUTH Supervising Prescribing Practitioner Medical Doctor 109150 04/29/2024
TAYLOR, PETER DONOVAN Supervisor Medical Doctor 71466 02/04/2020
VIVEK, DEEPAK PATHE Supervisor Medical Doctor 92930 02/04/2020
WALDMAN, ADAM JASON Supervisor Medical Doctor 85165 02/04/2020

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Name Relationship Profession License Effective Date
GUNASEKERA, LUSHANTHA SAJOTHA Subordinate Medical Doctor 90665 8/10/2020
MAK, SOPHIE LOK YAN Prescribing Physician Assistant Physician Assistant 9109602 10/3/2016

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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.