License Verification

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RICARDO ARSENIO REVILLA

License Number: ME106166

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME106166
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
01/13/2010
Address of Record
30 West Mashta Dr suite 300
KEY BISCAYNE, FL 33149
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13800 SW 56th ST, Suite 107
MIAMI, FL 33183
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BUCK, JENNIFER FRANCES Prescribing Physician Assistant Physician Assistant 9106346 2/20/2020
DAIGLE, LAURIE LEBLANC Prescribing Physician Assistant Physician Assistant 9107203 2/20/2020
KEETON, PATRICK RAY Prescribing Physician Assistant Physician Assistant 9107121 3/5/2020
PATRONIS ADAMS, MARIA Prescribing Physician Assistant Physician Assistant 9111206 3/11/2020
RODRIGUEZ, ZULAMY Prescribing Physician Assistant Physician Assistant 9108519 2/1/2024
SAMSON, JESSICA AURELIO Prescribing Physician Assistant Physician Assistant 9103076 3/11/2020
SIMMONS, LEONARD WILLIAM Prescribing Physician Assistant Physician Assistant 9103209 3/11/2020
WINDFELDER, CHARLES BERNARD Prescribing Physician Assistant Physician Assistant 9103273 3/11/2020

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 12/23/2024



* 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.