License Verification

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ENRIQUE RUIZ

License Number: PA9104245

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9104245
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/19/2007
Address of Record
1054 GATEWAY BLVD.
SUITE 106
BOYNTON BEACH, FL 33426
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
CASTILLO-NIEVES, EDGARDO Supervising Prescribing Practitioner Medical Doctor 106313 11/14/2019
DEVOURSNEY, JAMES JUDE Supervising Prescribing Practitioner Medical Doctor 80429 01/25/2022
PUNYANI, SAT PAUL Supervising Prescribing Practitioner Medical Doctor 33922 09/18/2017
SCHULTZ, MICHAEL TIMOTHY Supervising Prescribing Practitioner Medical Doctor 102091 09/18/2017
URBAN, KURT EDWARD Supervising Prescribing Practitioner Osteopathic Physician 13376 09/18/2017

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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.


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