License Verification

Printer Friendly Version

ROBERT F BLAKE

License Number: PA9103551

Data As Of 12/14/2025

Profession
Physician Assistant
License
PA9103551
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
10/20/2005
Address of Record
14804 Stirrup Lane
WELLINGTON, FL 33414
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
8501 SW 124th Avenue Suite 108
MIAMI, FL 33183
Address
800 E Cypress Creek Road Suite203
FORT LAUDERDALE, FL 33334
Name Relationship Profession License Effective Date
GHAVAM, CYRUS Supervising Prescribing Practitioner Medical Doctor 145684 01/24/2023

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

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 12/14/2025



* 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.