License Verification

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VIVIAN RAEL MALAVE

License Number: PA9111563

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9111563
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/12/2018
Address of Record
1900 N. Alafaya Trail, #900
ORLANDO, FL 32826
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1285 Orange Avenue
WINTER PARK, FL 32789
Name Relationship Profession License Effective Date
EMERSON, PATRICK FORDING Supervising Prescribing Practitioner Medical Doctor 113503 02/11/2021
MCFADDEN, SEAN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 8094 02/08/2021
SILVERSTEIN, MICHAEL PHILIP Supervising Prescribing Practitioner Medical Doctor 134831 02/08/2021
VARAS, RICARDO JUAN Supervising Prescribing Practitioner Medical Doctor 89703 11/30/2018

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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 12/23/2024



* 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.


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