License Verification

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LISA NYANDA-MANALO

License Number: ME111230

Data As Of 4/27/2025

Profession
Medical Doctor
License
ME111230
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/03/2011
Address of Record
26809 Tanic Drive
Suite 101
WESLEY CHAPEL, FL 33544
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
11021 Spring Hill Drive
SPRING HILL, FL 34608
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
OVERTURF, CASEY LAUREN Prescribing Physician Assistant Physician Assistant 9110390 5/14/2019
PACK, ALEXANDRA GABRIELLE Prescribing Physician Assistant Physician Assistant 9111662 3/9/2023
TANNER, CARLY LYNN Prescribing Physician Assistant Physician Assistant 9105781 4/23/2019

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/27/2025



* 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.