License Verification

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ALBERT MAWAD MICHAEL

License Number: ME108947

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME108947
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
01/20/2011
Address of Record
1401 W Seminal Blvd
SANFORD, FL 32771
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
303 N Clyde Morris Blvd,
DAYTONA BEACH, FL 32114
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BRENNER, JEREMY PHILIP Prescribing Physician Assistant Physician Assistant 9107287 1/18/2019
CHARFEN, CHARLOTTE NEWMAN Subordinate Medical Doctor 97458 10/15/2016
GUZMAN, NICELY YSABEL MD Subordinate Medical Doctor 96189 1/1/2021
JUSTICE, ALLISON JEAN Prescribing Physician Assistant Physician Assistant 9108135 1/18/2019
MILLER, KERI LONG Prescribing Physician Assistant Physician Assistant 9108344 1/17/2019
NEWTON, ADRIANNE Prescribing Physician Assistant Physician Assistant 9108825 1/18/2019

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/22/2024



* 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.