License Verification

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DANIELA CONCHA-ALECCHI DEJO

License Number: PA9111919

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9111919
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/03/2019
Address of Record
7035 Beracasa Way
BOCA RATON, FL 33433
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2181 N Federal Highway
BOCA RATON, FL 33431
Address
1200 Yamato Rd
BOCA RATON, FL 33431
Name Relationship Profession License Effective Date
COLLINS, JEFFREY PAUL Supervising Prescribing Practitioner Medical Doctor 132019 12/14/2020
FERNANDEZ, ARIADNA Supervising Prescribing Practitioner Medical Doctor 152878 10/10/2024
GOLGOTIU, ADRIAN DAN Supervising Prescribing Practitioner Medical Doctor 91383 02/02/2024
MAY, DUSTIN WEBSTER CAMPBELL Supervising Dispensing Practitioner Osteopathic Physician 13262 05/30/2022

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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 12/22/2024



* 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.


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