License Verification

Printer Friendly Version

MARIO HEREDIA

License Number: PA9108764

Data As Of 5/5/2025

Profession
Physician Assistant
License
PA9108764
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/16/2015
Address of Record
1561 W. Fairbanks Avenue
# 300
Winter Park
ORLANDO, FL 32789
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1755 E Hwy 50 Suite A Sterling Medical Group
CLERMONT, FL 34711
Address
1040 mason ave
DAYTONA BEACH, FL 32117
Address
3284 Causeway North Sterling Medical Group
KISSIMMEE, FL 34741
Address
769 CR466 Sterling Medical Group
LADY LAKE, FL 32159
Name Relationship Profession License Effective Date
APPEL, ANDREW JOSHUA Supervising Dispensing Practitioner Medical Doctor 103708 07/06/2017
APPEL, ANDREW JOSHUA Supervising Prescribing Practitioner Medical Doctor 103708 08/28/2017
RUIZ, HENRY Supervising Prescribing Practitioner Medical Doctor 135171 11/11/2020

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

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 5/5/2025



* 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.