License Verification

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LISA MICHELLE LUCIANO

License Number: PA9115669

Data As Of 7/17/2025

Profession
Physician Assistant
License
PA9115669
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/10/2022
Address of Record
2800 S Osceola Avenue
ORLANDO, FL 32806
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
3727 N Goldenrod Road Suite 103
WINTER PARK, FL 32792
Address
1051 Port Malabar Blvd NE Suite 6
PALM BAY, FL 32905
Address
4243 NW Federal Highway
JENSEN BEACH, FL 34957
Address
1801 S 23rd Street Suite 1
FORT PIERCE, FL 34950
Name Relationship Profession License Effective Date
ABOUELLEIL, MOURAD Supervising Prescribing Practitioner Medical Doctor 127355 06/26/2023
MONTALVO-FITZPATRICK, JOSE A Supervising Prescribing Practitioner Medical Doctor 135473 03/22/2022

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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 7/17/2025



* 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.