License Verification

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LENA NABEEL HADDAD

License Number: PA9109494

Data As Of 10/31/2024

Profession
Physician Assistant
License
PA9109494
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
04/20/2016
Address of Record
6100 Kennerly Road Suite 101
JACKSONVILLE, FL 32216
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
150 professional drive
PONTE VEDRA BEACH, FL 32082
Name Relationship Profession License Effective Date
DESCALLAR, EDWARD ALLEN Supervising Prescribing Practitioner Medical Doctor 135003 07/19/2018
FRALEY, PAUL RICHARD Supervising Prescribing Practitioner Medical Doctor 134133 06/01/2018
SPILLERT, LEONARD J M D Supervising Dispensing Practitioner Medical Doctor 17473 01/21/2021

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/31/2024



* 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.