License Verification

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CARLA CHRISTINA MOODIE

License Number: PA9104191

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9104191
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/25/2007
Address of Record
12902 MAGNOLIA DRIVE
CSB6
TAMPA, FL 33612
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
BALDONADO, JOBELLE JOYCE ANNE ROBINO Supervising Prescribing Practitioner Medical Doctor 148059 07/01/2021
FONTAINE, JACQUES-PIERRE Supervising Prescribing Practitioner Medical Doctor 108852 07/01/2021
KEENAN, ROBERT JAMES Supervising Prescribing Practitioner Medical Doctor 123918 11/05/2021
ROBINSON, LARY A M D Supervising Prescribing Practitioner Medical Doctor 69477 07/01/2021
SALTOS, ANDREAS NICHOLAS Supervising Prescribing Practitioner Medical Doctor 123615 07/01/2021
TOLOZA, ERIC MIGUEL Supervising Prescribing Practitioner Medical Doctor 107905 07/01/2021

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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.