License Verification

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ALIX TAYLOR OLSEN

License Number: PA9117636

Data As Of 12/16/2025

Profession
Physician Assistant
License
PA9117636
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/11/2023
Address of Record
3890 Tampa Rd.
Suite 405
PALM HARBOR, FL 34684
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ANDERSON, BRIAN LANE M D Supervising Prescribing Practitioner Medical Doctor 91472 04/01/2025
BERCHMANS, EMMANUEL Supervising Prescribing Practitioner Medical Doctor 160463 11/16/2023
COVELLO, BRIAN ROBERT Supervising Prescribing Practitioner Medical Doctor 167891 04/01/2025
ENTEL, ROBERT JAY MD Supervising Prescribing Practitioner Medical Doctor 55451 11/16/2023
EPSTEIN, DAVID SAMUEL Supervising Prescribing Practitioner Medical Doctor 105071 06/20/2025
FISHER, JOHN STEELE MD Supervising Prescribing Practitioner Medical Doctor 57611 11/16/2023
GHAVAMI, RICHARD MD Supervising Prescribing Practitioner Medical Doctor 93823 11/16/2023
KUPPLER, KEVIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 120502 11/16/2023
MCDOWELL, RHONDA KAY Supervising Prescribing Practitioner Medical Doctor 70269 11/16/2023
PATEL, ANIL GORDHANBHAI MD Supervising Prescribing Practitioner Medical Doctor 77934 11/16/2023
PATEL, UPEN JAYANT Supervising Prescribing Practitioner Medical Doctor 75827 11/16/2023
RAYMOND, CLIFFORD JAMES Supervising Prescribing Practitioner Medical Doctor 156891 11/16/2023
SAMUELS, DEREK BENJAMIN Supervising Prescribing Practitioner Medical Doctor 116198 11/16/2023
SHAMSI, ABDUL RHMAN Supervising Prescribing Practitioner Medical Doctor 97805 11/16/2023
VERMA, ADARSH Supervising Prescribing Practitioner Medical Doctor 95113 11/16/2023

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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 12/16/2025



* 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.