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PETER AIAD SAMUEL

License Number: ME132116

Data As Of 9/3/2026

Profession
Medical Doctor
License
ME132116
License Status
Clear/Active
Qualifications
STATE OF PRINCIPAL LICENSURE
License Expiration Date
1/31/2027
License Original Issue Date
04/17/2017
Address of Record
5421 Beaumont Center Blvd.
Suite 660
TAMPA, FL 33634
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
FASIUDDIN, NAJAM Supervising Prescribing Practitioner Osteopathic Physician 15006 01/10/2023
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 01/10/2023
FORTSON, SEAN JAMISON Supervising Prescribing Practitioner Osteopathic Physician 8702 01/10/2023
FRANCIS, JEFFREY Supervising Prescribing Practitioner Medical Doctor 155906 01/10/2023

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Name Relationship Profession License Effective Date
ABBOTT, SHERYL LYNN Prescribing Physician Assistant Physician Assistant 9116106 2/1/2023
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 6/28/2017
BARQUIN, JOSE MIGUEL JR Prescribing Physician Assistant Medical Doctor 131689 11/15/2024
CEPELAK, CARLY MICHELLE Prescribing Physician Assistant Physician Assistant 9119869 11/11/2025
COPENING, MARY ELLEN Prescribing Physician Assistant Physician Assistant 9114993 11/3/2021
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
CRAWFORD, PERRY WILLIAM Prescribing Physician Assistant Physician Assistant 9113494 8/11/2023
DIEHL, NATHAN JEROLD Prescribing Physician Assistant Physician Assistant 9113328 3/21/2023
EASTMAN, JACOB NESS MIZRAHI Prescribing Physician Assistant Medical Doctor 100729 10/14/2021
GARCIA-GONZALEZ, ALEXANDER Subordinate Medical Doctor 109637 8/1/2017
HAMPTON, WESTON WAYNE Prescribing Physician Assistant Medical Doctor 157622 1/1/2025
KIRBY, SARA E Prescribing Physician Assistant Medical Doctor 113449 1/9/2023
MIAH, BAHAR Prescribing Physician Assistant Medical Doctor 108183 1/10/2023
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
MOORE, ERIN RACHEL Prescribing Physician Assistant Physician Assistant 9111310 1/10/2023
NANAVATI, POOJA Prescribing Physician Assistant Medical Doctor 131540 5/23/2025
PATEL, KRISTA WEST Prescribing Physician Assistant Physician Assistant 9113096 1/10/2023
SANCHEZ, DANIELA Prescribing Physician Assistant Physician Assistant 9117523 9/11/2023

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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 9/3/2026



* 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.