License Verification

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LACINDA MICHELLE DENIS

License Number: PA9102449

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9102449
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/03/2003
Address of Record
12902 USF Magnolia Drive
Moffitt Cancer Center
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6000 49th Street North Northside Hospital
SAINT PETERSBURG, FL 33709
Name Relationship Profession License Effective Date
BEER FURLAN, ANDRE LUIZ Supervising Prescribing Practitioner Medical Doctor 147409 10/27/2021
ETAME, ARNOLD BESOHONG Supervising Prescribing Practitioner Medical Doctor 113907 10/27/2021
FORSYTH, PETER ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109550 10/21/2021
LIU, JAMES Supervising Prescribing Practitioner Medical Doctor 134977 10/28/2021
MOKHTARI, SEPIDEH Supervising Prescribing Practitioner Medical Doctor 129455 10/29/2021
PEGUERO, EDWIN N Supervising Prescribing Practitioner Medical Doctor 53073 10/28/2021
PINA, YOLANDA Supervising Prescribing Practitioner Medical Doctor 140138 11/02/2021
TRAN, NAM DUY Supervising Prescribing Practitioner Medical Doctor 104545 10/28/2021
VOGELBAUM, MICHAEL ALAN Supervising Prescribing Practitioner Medical Doctor 138367 10/21/2021

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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 12/23/2024



* 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.