License Verification

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ALEXIS DANIELLE RAHMAN

License Number: PA9112570

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9112570
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/20/2019
Address of Record
4516 N. Armenia Avenue
SDI Radiology & Associates, PA
TAMPA
TAMPA, FL 33603
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3001 W. Dr. MLK Blvd. St. Joseph's Hospital
TAMPA, FL 33607
Address
6901 SIMMONS LOOP St. Joseph's Hospital South
RIVERVIEW, FL 33578
Address
4211 VAN DYKE ROAD St. Joseph's Hospital North
LUTZ, FL 33558
Address
301 N. Alexander St. South Florida Baptist Hospital
PLANT CITY, FL 33563
Address
4501 Bruce B. Downs Blvd. Baycare Hospital Wesley Chapel
WESLEY CHAPEL, FL 33544
Name Relationship Profession License Effective Date
AHMED, ALTAN FAREED Supervising Prescribing Practitioner Medical Doctor 135276 10/22/2021
CHOI, JUNSUNG Supervising Prescribing Practitioner Medical Doctor 63922 10/22/2021
GUSTAINYTE, VAIVA Supervising Prescribing Practitioner Osteopathic Physician 14612 07/19/2021
KIS, BELA Supervising Prescribing Practitioner Medical Doctor 113401 10/21/2021
PARIKH, NAINESH SHARAD Supervising Prescribing Practitioner Medical Doctor 128082 10/22/2021

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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 12/23/2024



* 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.


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.