License Verification

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NEAL SHAH

License Number: ME121272

Data As Of 12/24/2024

Profession
Medical Doctor
License
ME121272
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
08/12/2014
Address of Record
2310 North Blvd West, Suite A
Davenport
DAVENPORT, FL 33837
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
Suite 201 1417 lakeland hill blvd
LAKELAND, FL 33805
Address
400 Avenue K Suite 9
WINTER HAVEN, FL 33880
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
HISGHMAN, KALEY BROOKE AA Anesthesiologist Assistants 176 10/3/2022
HISGHMAN, KALEY BROOKE Subordinate Anesthesiologist Assistants 176 10/3/2022
MILLER, MELISSA DYANN AA Anesthesiologist Assistants 147 9/24/2012

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/24/2024



* 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.