License Verification

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AMMAR HEMAIDAN MD

License Number: ME78370

Data As Of 12/26/2024

Profession
Medical Doctor
License
ME78370
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/28/1999
Address of Record
1690 DUNLAWTON AVE
SUITE 210
PORT ORANGE, FL 32127
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1890 LPGA Blvd Suite 270
DAYTONA BEACH, FL 32117
Address
315 Palm Coast Pkwy, NE Suite 5
PALM COAST, FL 32137
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
KIRK, ROBERT N Prescribing Physician Assistant Physician Assistant 3531 4/4/2024
KISGEROPOULOS, CHAZ Prescribing Physician Assistant Physician Assistant 9111669 10/18/2018
STADDON, JULIA MARIE Prescribing Physician Assistant Physician Assistant 9118299 4/12/2024
URGENT CARE CENTER OF PORT ORANGE, LLC HCCE Health Care Clinic Establishment Permit 4455 6/7/2011

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/26/2024



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** 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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