License Verification

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DERRICK ANTHONY DAVIS

License Number: PA9103680

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9103680
License Status
OBLIGATIONS/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
03/10/2006
Address of Record
7935 W McNab Rd
Tamarac
TAMARAC, FL 33321
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date
BURACK, STEVEN ADAM Supervising Prescribing Practitioner Osteopathic Physician 9851 12/01/2022
JETT, GARY EMIL MD Supervising Prescribing Practitioner Medical Doctor 114223 04/16/2020
OPPENHEIMER, JEFFREY HARRY Supervising Prescribing Practitioner Medical Doctor 60083 04/16/2020
SOLEYMANI, SAMAN Supervising Prescribing Practitioner Medical Doctor 88018 10/28/2016
SOLIS, FRANCISCO Supervising Prescribing Practitioner Osteopathic Physician 11863 01/13/2023

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.