License Verification

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CHRISTOPHER ALFONSO MALLARI

License Number: PA9103134

Data As Of 5/31/2025

Profession
Physician Assistant
License
PA9103134
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
11/15/2004
Address of Record
8791 Conference Dr
FORT MYERS, FL 33919
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2776 Cleveland Ave
FORT MYERS, FL 33901
Address
9981 S Healthpark Dr
FORT MYERS, FL 33908
Address
636 Del Prado Blvd S
CAPE CORAL, FL 33990
Address
13681 Doctors Way
FORT MYERS, FL 33919
Name Relationship Profession License Effective Date
ANDERSON, BRIAN LANE M D Supervising Prescribing Practitioner Medical Doctor 91472 06/03/2020
APONTE, LUIS A Supervising Prescribing Practitioner Medical Doctor 107394 05/09/2018
CHUNG, JERRY Supervising Prescribing Practitioner Medical Doctor 101742 05/20/2020
EPSTEIN, DAVID SAMUEL Supervising Prescribing Practitioner Medical Doctor 105071 05/15/2020
KUPPLER, KEVIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 120502 05/15/2020
MEENA, RAGAI THABETNASHED Supervising Prescribing Practitioner Medical Doctor 119278 05/09/2018
PAMMI, SUNIL S Supervising Prescribing Practitioner Medical Doctor 94370 05/09/2018
SAMUELS, DEREK BENJAMIN Supervising Prescribing Practitioner Medical Doctor 116198 05/21/2020
VERMA, ADARSH Supervising Prescribing Practitioner Medical Doctor 95113 05/22/2020

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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 5/31/2025



* 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.