License Verification

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BRIAN WIN

License Number: PA9113319

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9113319
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/29/2020
Address of Record
4710 Florida Ave S
LAKELAND, FL 33813
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1324 Lakeland Hills Blvd Lakeland Regional Health Med. Ctr
LAKELAND, FL 33805
Address
2815 Lakeland Hills Blvd Gateway Walk In
LAKELAND, FL 33805
Address
4710 South Florida Avenue Lake Miriam Urgent Care
LAKELAND, FL 33813
Address
130 Pablo Street Pabllo Urgent Care
LAKELAND, FL 33803
Name Relationship Profession License Effective Date
PATEL, RUCHA KHARWA Supervising Prescribing Practitioner Medical Doctor 140610 05/20/2022

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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.


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.