License Verification

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ALFRED OTERO

License Number: PA3636

Data As Of 10/5/2024

Profession
Physician Assistant
License
PA3636
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/07/1998
Address of Record
359 West Duval Street
Southern Direct Primary Care
LAKE CITY, FL 32055
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details
Address
1465 West US Hwy 90, Suite 100 Baya Urgent Care
LAKE CITY, FL 32055
Name Relationship Profession License Effective Date
HARRISON, BOBBY EVANS Supervising Dispensing Practitioner Medical Doctor 87831 09/01/2022
HARRISON, BOBBY EVANS Supervising Prescribing Practitioner Medical Doctor 87831 08/04/2022
PERLA, TODD ALLAN Supervising Dispensing Practitioner Medical Doctor 65271 02/08/2018
PERLA, TODD ALLAN Supervising Prescribing Practitioner Medical Doctor 65271 09/24/2018
UKAEGBU, MICHAEL C SR Supervising Dispensing Practitioner Medical Doctor 117949 06/19/2017
UKAEGBU, MICHAEL C SR Supervising Prescribing Practitioner Medical Doctor 117949 09/17/2018

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 10/5/2024



* 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.