License Verification

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POOJA PRAKASH BAVISKAR

License Number: PA9112760

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9112760
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/28/2019
Address of Record
931 SW 111th Way
DAVIE, FL 33324
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1228 S Pine Island Road Baptist Medical Plaza @ Plantation
PLANTATION, FL 33324
Address
8400 NW 53 Street Baptist Medical Plaza @ Downtown Duval
MIAMI, FL 33166
Address
4741 South University Drive Baptist Medical Plaza @ Davie
DAVIE, FL 33328
Address
15885 Pines Blvd Baptist Medical Plaza at Pembroke Pines
PEMBROKE PINES, FL 33027
Address
12472 West Sunrise Blvd Baptist Medical Plaza at Sawgrass
SUNRISE, FL 33323
Address
1642 Town Center Circle Baptist Medical Plaza @ Sawgrass
WESTON, FL 33326
Address
1240 South Dixie Highway Baptist Urgent Care @ University
CORAL GABLES, FL 33146
Address
709 Alton Road Baptist Medical Plaza Miami Beach
MIAMI BEACH, FL 33139
Address
14701 NW 77th Avenue Baptist Medical Plaza Mimi Lakes
MIAMI LAKES, FL 33014
Address
9915 NW 41st Street Baptist Medical Plaza at Doral
DORAL BRANCH, FL 33178
Address
10 Giralda Avenue Baptist Medical Plaza at Coral Gables
CORAL GABLES, FL 33134
Address
2660 Brickell Avenue Baptist Medical Plaza at Brickell
MIAMI, FL 33129
Name Relationship Profession License Effective Date
KRANICHFELD, WILLIAM HUBERT JR Supervising Dispensing Practitioner Medical Doctor 57914 09/21/2021

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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.


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.