License Verification

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ALEXANDRA GABRIELLE PACK

License Number: PA9111662

Data As Of 4/27/2025

Profession
Physician Assistant
License
PA9111662
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/24/2018
Address of Record
8209 FL-54
Advanced Dermatology and Cosmetic
Surgery
NEW PORT RICHEY, FL 34655
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
151 Southhall Lane, Suite 300
MAITLAND, FL 32751
Address
11021 SPRING HILL DR
SPRING HILL, FL 34608
Name Relationship Profession License Effective Date
BERNARD, JAMES DONALD DO Supervising Prescribing Practitioner Osteopathic Physician 3277 03/29/2019
GENEBRIERA DELAMO, JOSEP Supervising Prescribing Practitioner Medical Doctor 109607 01/08/2020
NYANDA-MANALO, LISA Supervising Prescribing Practitioner Medical Doctor 111230 03/09/2023

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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 4/27/2025



* 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.