License Verification

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ASAYA ANN CRISOSTOMO

License Number: PA9114297

Data As Of 12/24/2024

Profession
Physician Assistant
License
PA9114297
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
04/12/2021
Address of Record
2101 Park Center Dr, Suite 130
ORLANDO, FL 32835
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10000 W Colonial Drive Suite 285
OCOEE, FL 34761
Name Relationship Profession License Effective Date
AMIN, JAY Supervising Prescribing Practitioner Medical Doctor 157831 01/13/2023
D'ANGELO, MICHAEL FRANCIS M D Supervising Prescribing Practitioner Medical Doctor 84656 04/05/2022
FADHLI, OMAR A Supervising Prescribing Practitioner Medical Doctor 77191 09/07/2021

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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 12/25/2024



* 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.