License Verification

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GAURAV SHAH

License Number: ME126363

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME126363
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/08/2015
Address of Record
5616 West Norvell Bryant Highw
CRYSTAL RIVER, FL 34429
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2400 N. HERITAGE OAKS PATH
HERNANDO, FL 34442
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ARMSTRONG, LOGAN Prescribing Physician Assistant Physician Assistant 9113381 5/18/2022
CECCARDI, ALLISON Prescribing Physician Assistant Physician Assistant 9111208 9/29/2021
MARCHIOLI, MARC EDWARD Prescribing Physician Assistant Physician Assistant 9106961 8/12/2021
MCCOLLUM, ANDREA LINDSEY Prescribing Physician Assistant Physician Assistant 9113189 7/14/2022
NORMAN, FRANCISCO IVAN Prescribing Physician Assistant Physician Assistant 9100660 8/12/2021
RYKER, DENNIS ALAN Prescribing Physician Assistant Physician Assistant 9110399 12/21/2021
SCHIEL, JASON Subordinate Osteopathic Physician 12534 9/11/2020
SECREST, LINDSEY MAY Prescribing Physician Assistant Physician Assistant 9118005 11/1/2023
THABET, ASHRAF Subordinate Osteopathic Physician 11277 9/11/2020

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



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.