License Verification

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PEDRO MANUEL ALVAREZ

License Number: PA9113765

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9113765
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/20/2020
Address of Record
621 sw 102 ave
miami
MIAMI, FL 33174
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13800 SW 56 Street Suite 121
MIAMI, FL 33175
Name Relationship Profession License Effective Date
LAMAS MENDEZ, ANGEL LUIS Supervising Prescribing Practitioner Medical Doctor 133866 11/27/2024
LEISY, ADAM ETHAN Supervising Dispensing Practitioner Medical Doctor 115884 11/22/2024
LEISY, ADAM ETHAN Supervising Prescribing Practitioner Medical Doctor 115884 03/29/2023
MAY, DUSTIN WEBSTER CAMPBELL Supervising Prescribing Practitioner Osteopathic Physician 13262 04/17/2024

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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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