License Verification

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GIULIA MARIE VASQUEZ

License Number: PA9112557

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9112557
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/18/2019
Address of Record
2415 North Orange Avenue
AHMG Vascular Surgery-Orlando
Suite 302
ORLANDO, FL 32804
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
PEREZ-IZQUIERDO, MANUEL RAMON Supervising Prescribing Practitioner Medical Doctor 77082 12/29/2023
VARNAGY, DAVID Supervising Prescribing Practitioner Medical Doctor 88934 01/08/2024
WILSON, RACHEL ELIZABETH Supervising Prescribing Practitioner Medical Doctor 145052 01/08/2024
WLADIS, ALAN ROBERT Supervising Prescribing Practitioner Medical Doctor 80259 02/07/2020

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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



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** 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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