License Verification

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CHARISSA DAWN HIGDON

License Number: PA9104613

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9104613
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2008
Address of Record
915 W. MONROE ST. SUITE 200
JACKSONVILLE, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1350 13th Avenue South Baptist Medical Center Beaches
JAX BEACH, FL 32250
Address
1 Shircliff Way Saint Vincents Hospital
JACKSONVILLE, FL 32204
Address
800 Prudential Drive Baptist Medical Center Downtown
JACKSONVILLE, FL 32207
Address
3550 University Blvd S. Suite 301
JACKSONVILLE, FL 32216
Address
2001 Kingsley Avenue Orange Park Medical Center
ORANGE PARK, FL 32073
Address
4201 BELFORT RD.
JACKSONVILLE, FL 32216
Address
3625 UNIVERSITY BLVD. S MEMORIAL HOSPITAL
JACKSONVILLE, FL 32216
Address
600 Plantation Island Drive Suite #1
ST AUGUSTINE, FL 32080
Address
3599 University Blvd S Brooks University
JACKSONVILLE, FL 32216
Address
1670 St Vincent's Way
MIDDLEBURG, FL 32068
Address
400 Health Park Blvd
ST AUGUSTINE, FL 32086
Address
14550 Old St Augustine Rd Baptist South Hospital
JACKSONVILLE, FL 32258
Address
6400 Brooks Bartram Dr Brooks Bartram Rehab
JACKSONVILLE, FL 32258
Address
1771 Baptist Clay Dr
FLEMING ISLAND, FL 32003
Address
205 Trinity Way
SAINT JOHNS, FL 32259
Name Relationship Profession License Effective Date
AYAD, SALWA SALAMA MD Supervising Prescribing Practitioner Medical Doctor 94569 07/14/2008
DESHMUKH, SHILPA Supervising Prescribing Practitioner Medical Doctor 154985 07/01/2022
EVANS, JOHN GARY MD Supervising Prescribing Practitioner Medical Doctor 63658 08/02/2004
KAMBHATLA, AKSHAYA Supervising Prescribing Practitioner Medical Doctor 167071 07/09/2024
MAGEE, JAMES SAMPLE Supervising Prescribing Practitioner Medical Doctor 30740 07/14/2008
ROURA, MIGUEL FABIAN Supervising Prescribing Practitioner Medical Doctor 50092 07/14/2008
SHRESTHA, ANIL PRASAD MD Supervising Prescribing Practitioner Medical Doctor 83286 07/14/2008
SILVA, RICARDO ANTONIO Supervising Prescribing Practitioner Medical Doctor 62054 07/14/2008
SULTAN, SENAN MD Supervising Prescribing Practitioner Medical Doctor 100893 07/01/2008
SUTTON, DAVID RICKENBECK JR Supervising Prescribing Practitioner Medical Doctor 58349 08/02/2004
VILLAVICENCIO, RAQUEL Supervising Prescribing Practitioner Medical Doctor 166674 07/22/2024
WADUD, KHURRAM Supervising Prescribing Practitioner Medical Doctor 97274 07/14/2008
WARDA, FIRAS Supervising Prescribing Practitioner Medical Doctor 155506 07/01/2022

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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.