License Verification

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HETAL MIHIR PATEL

License Number: PA9103240

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9103240
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
03/11/2005
Address of Record
200 SE HOSPITAL AVE
Cleveland Clinic Martin Health System
STUART, FL 34994
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2100 SE SALERNO RD. Cleveland Clinic Martin SOUTH
STUART, FL 34997
Address
10000 SW INNOVATION WAY Cleveland Clinic Tradition Health
PORT SAINT LUCIE, FL 34987
Name Relationship Profession License Effective Date
AHMAD, JAWAD Supervising Prescribing Practitioner Medical Doctor 132786 03/27/2018
ALONSO, PEDRO ALBERTO MD Supervising Prescribing Practitioner Medical Doctor 70064 03/27/2018
ALTEMA, REYNALD Supervising Prescribing Practitioner Medical Doctor 109047 03/27/2018
ANAGO, KOSISOCHUKWU NKENNA Supervising Prescribing Practitioner Medical Doctor 137136 03/16/2019
BAKER, RODERICK Supervising Prescribing Practitioner Medical Doctor 123351 03/27/2018
BIGLIONE, ALEJANDRO GUSTAVO MD Supervising Prescribing Practitioner Medical Doctor 78592 04/30/2019
BUCKMIRE, SOWANDE M Supervising Prescribing Practitioner Medical Doctor 129503 03/27/2018
CHIONG, DIANA MARIE DO Supervising Prescribing Practitioner Osteopathic Physician 9508 03/27/2018
COOPER, CHRISTIAN Supervising Prescribing Practitioner Medical Doctor 131795 03/27/2018
DESHPANDE, KRISHNARAJ GOPAL Supervising Prescribing Practitioner Osteopathic Physician 11305 03/27/2018
DUNTEMAN, COLT ROLAND Supervising Prescribing Practitioner Medical Doctor 123078 03/27/2018
FITZGERALD, KEVIN Supervising Prescribing Practitioner Medical Doctor 126226 03/27/2018
GAETA, PAUL ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 59193 03/27/2018
GARCIA, HUBERT OGAN Supervising Prescribing Practitioner Medical Doctor 71458 03/27/2018
HOU, KEVIN Supervising Prescribing Practitioner Medical Doctor 135279 04/30/2019
LACOSSIERE, KENSON Supervising Prescribing Practitioner Medical Doctor 114403 03/27/2018
LEHNHOFF, REBECCA LYNN Supervising Prescribing Practitioner Medical Doctor 109113 03/27/2018
MASOOD, ASIF Supervising Prescribing Practitioner Medical Doctor 100913 04/30/2019
MILLER, SEAN ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 105658 03/27/2018
MORLEY, CHRISTOPHER STUART Supervising Prescribing Practitioner Medical Doctor 117383 03/27/2018
NEGANDHI, PRIYA VIKASH Supervising Prescribing Practitioner Medical Doctor 132504 03/27/2018
PATEL, SHERI M D Supervising Prescribing Practitioner Medical Doctor 131428 04/30/2019
POUDEL, PUSHPA RAJ Supervising Prescribing Practitioner Medical Doctor 125134 03/27/2018
PRETTELT, EDGAR ALBERTO Supervising Prescribing Practitioner Medical Doctor 88280 03/27/2018
RATANU, MARIUS TRAIAN Supervising Prescribing Practitioner Medical Doctor 100662 03/27/2018
REYES, ANDRES M Supervising Prescribing Practitioner Medical Doctor 100755 03/16/2019
SHAH, PRAKASH BABU Supervising Prescribing Practitioner Medical Doctor 125031 03/27/2018
SNEDEKER, SCOTT WALTER Supervising Prescribing Practitioner Medical Doctor 73810 03/27/2018
STHILAIRE, MICHECA Supervising Prescribing Practitioner Medical Doctor 124548 03/27/2018
SUGAR, DAVID Supervising Prescribing Practitioner Osteopathic Physician 14004 03/27/2018
THOMAS, KERONE P Supervising Prescribing Practitioner Medical Doctor 127455 03/27/2018
THUMMA, VIJAY BHASKER REDDY Supervising Prescribing Practitioner Medical Doctor 135589 03/16/2019
TURNER, ALAN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 11994 03/27/2018
VAN VLIET, ROBERT JOHN Supervising Prescribing Practitioner Osteopathic Physician 7460 03/27/2018
VASIREDDY, PADMAJA Supervising Prescribing Practitioner Medical Doctor 129253 03/27/2018

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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.