License Verification

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MADELAINE IZQUIERDO

License Number: PA9100612

Data As Of 5/10/2025

Profession
Physician Assistant
License
PA9100612
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/29/1998
Address of Record
18678 NW 77th place
HIALEAH, FL 33015
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
601 East Sample Rd suite 109
POMPANO BEACH, FL 33064
Address
2659 W. Oakland Park Blvd.
FT LAUDERDALE, FL 33311
Address
14818 Pines Blvd
PEMBROKE PINES, FL 33027
Address
18999 Biscayne Blvd Ste 201
AVENTURA, FL 33180
Address
2900 N. Military trail STE 129
BOCA RATON, FL 33431
Address
17560 NW 27th AVE Suite 117 Miami Gardens
MIAMI GARDENS, FL 33056
Address
11285 SW 211 St Suite 302
CUTLER BAY, FL 33189
Address
8740 N Kendall Drive Suite #115
MIAMI, FL 33175
Name Relationship Profession License Effective Date
QIAN, TIE DR Supervising Prescribing Practitioner Medical Doctor 83875 07/16/2019

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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 5/10/2025



* 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.