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ADAM ETHAN LEISY

License Number: ME115884

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME115884
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2027
License Original Issue Date
04/25/2013
Address of Record
2001 W 68th S
HIALEAH, FL 33016
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
300 North County Rd.
PALM BEACH, FL 33480
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ABRAHAM, VARKEY Prescribing Physician Assistant Physician Assistant 3670 10/31/2024
ALVAREZ, PEDRO MANUEL Dispensing Physician Assistant Physician Assistant 9113765 11/22/2024
ALVAREZ, PEDRO MANUEL Prescribing Physician Assistant Physician Assistant 9113765 3/29/2023
APPEL, RACHEL Prescribing Physician Assistant Physician Assistant 9102351 10/31/2024
CANO, DAILA ARIADDA Prescribing Physician Assistant Physician Assistant 9105905 11/1/2024
CENTOFANTI, PAULA CHRISTINE Prescribing Physician Assistant Physician Assistant 9103523 2/18/2020
CONKLU, EMRE MEHMET Prescribing Physician Assistant Osteopathic Physician 10121 10/2/2024
DIXON, CHRISTINA Prescribing Physician Assistant Physician Assistant 9108704 2/15/2022
GORDON, HEATHER KAY Prescribing Physician Assistant Physician Assistant 9114632 11/9/2024
KUMETZ, CHRISTOPHER ALEXEI Prescribing Physician Assistant Medical Doctor 135191 10/22/2024
LYLE, SARAH Prescribing Physician Assistant Physician Assistant 9114188 11/7/2024
MARTINEZ, GUSTAVO ADOLFO Prescribing Physician Assistant Physician Assistant 9100260 2/13/2020
MORENO, DANIEL ALFONSO Prescribing Physician Assistant Physician Assistant 9113632 8/17/2022
PAJON, MELANIE Prescribing Physician Assistant Physician Assistant 9110613 2/18/2020
SATCHELL, TIFFANY MELISSA Prescribing Physician Assistant Physician Assistant 9109448 3/3/2022
TOWN OF PALM BEACH FIRE RESCUE Service Provider EMS Service Provider ALS 5014 4/14/2020

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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.