License Verification

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BARBARA ADIS DIAZ

License Number: PA9102935

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9102935
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
08/23/2004
Address of Record
13001 N. KENDALL DR
BAPTIST HOSPITAL URGENT CARE
MIAMI, FL 33186
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
8750 S.W. 144 ST BAPTIST HOSPITAL URGENT CARE
MIAMI, FL 33176
Address
14661 SW 56th Street Baptist Health Urgent Care
MIAMI, FL 33125
Address
11805 S. Dixie Highway Baptist Health Urgent Care
MIAMI, FL 33156
Address
14660 S. W. 8TH STREET BAPTIST MEDICAL PLAZA
MIAMI, FL 33184
Address
8840 BIRD ROAD BAPTIST MEDICAL PLAZA
MIAMI, FL 33165
Address
13500 S. W. 152ND STREET BAPTIST MEDICAL PLAZA
MIAMI, FL 33177
Name Relationship Profession License Effective Date
AVILA ZAMORA, OCTAVIO Supervising Dispensing Practitioner Medical Doctor 123042 03/01/2016
AVILA ZAMORA, OCTAVIO Supervising Prescribing Practitioner Medical Doctor 123042 04/08/2016
PEREZ, JOSE RAMON Supervising Dispensing Practitioner Medical Doctor 125214 11/07/2016
PEREZ, JOSE RAMON Supervising Prescribing Practitioner Medical Doctor 125214 10/13/2016
PONCE DE LEON, MERCEDES Supervising Dispensing Practitioner Medical Doctor 122121 03/01/2016
PONCE DE LEON, MERCEDES Supervising Prescribing Practitioner Medical Doctor 122121 04/08/2016

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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 12/22/2024



* 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.