License Verification

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EMAD AHMEDMOHAMED EISA

License Number: ME114732

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME114732
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
12/12/2012
Address of Record
1000 Mar Walt Dr
FORT WALTON BEACH, FL 32547
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BULLARD, VANESSA Prescribing Physician Assistant Physician Assistant 9109940 7/10/2024
DOKIANOS, NICHOLAS JOSEPH Prescribing Physician Assistant Physician Assistant 9111676 7/10/2024
HOLLAND, RYLEE PA Prescribing Physician Assistant Physician Assistant 9113645 7/10/2024
TIMM, SAMANTHA KATE Prescribing Physician Assistant Physician Assistant 9112812 7/10/2024

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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 12/22/2024



* 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.