License Verification

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MOSAMMAT KHALEDA NAYEM

License Number: PA9104923

Data As Of 4/3/2025

Profession
Physician Assistant
License
PA9104923
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
01/27/2009
Address of Record
601 E Rollins St
AdventHealth Orlando
ORLANDO, FL 32803
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1663 Georgia St NE #500 Affordable Care Clinics Palm Bay
PALM BAY, FL 32907
Address
1650 Sand Lake Rd #112A Affordable Care Clinics Orlando
ORLANDO, FL 32809
Address
5579 South Orange Ave Select Specialty Hospital Orlando South
ORLANDO, FL 32809
Address
2250 Bedford Rd Select Specialty Hospital Orlando North
ORLANDO, FL 32803
Name Relationship Profession License Effective Date
AKELLA, RAVI PRASAD Supervising Dispensing Practitioner Medical Doctor 74539 02/11/2020
AKELLA, RAVI PRASAD Supervising Prescribing Practitioner Medical Doctor 74539 01/22/2020
ALSAKKA, MOHAMMED Supervising Prescribing Practitioner Medical Doctor 139088 02/27/2025
BOSY, SCOTT DAVID Supervising Prescribing Practitioner Medical Doctor 130578 01/17/2025
CLIFFORD, GAIL LISA Supervising Prescribing Practitioner Medical Doctor 165085 02/18/2025
CRAWFORD FLORIS, RHASHELIA SHANTINI Supervising Prescribing Practitioner Medical Doctor 128488 01/17/2025
ELHEWAN, HASSAN ALI Supervising Prescribing Practitioner Medical Doctor 115741 01/17/2025
GANJAM, RAGHU DEEP Supervising Dispensing Practitioner Medical Doctor 87933 02/11/2020
GANJAM, RAGHU DEEP Supervising Prescribing Practitioner Medical Doctor 87933 01/22/2020
GONZALEZ, MAURA E Supervising Prescribing Practitioner Medical Doctor 124215 01/17/2025
MASIH, RAVI BAKHSHISH Supervising Prescribing Practitioner Medical Doctor 75539 03/10/2025
MAURI, BRYANT Supervising Prescribing Practitioner Osteopathic Physician 18310 01/20/2025
MENDEZ, RONALD ZASHARY Supervising Prescribing Practitioner Medical Doctor 148938 01/17/2025
OKPOKPO, ENOEMEM MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 17819 02/18/2025
PIERRE, EDECK S Supervising Prescribing Practitioner Medical Doctor 120221 01/17/2025
RUIZ, STEVEN MICHAEL Supervising Prescribing Practitioner Medical Doctor 156997 01/17/2025
SACERIO VALCARCEL, ELVYS Supervising Prescribing Practitioner Medical Doctor 115001 01/17/2025
SORIANO, VICTOR Supervising Prescribing Practitioner Medical Doctor 132613 01/17/2025
TEWATIA, TARUN Supervising Prescribing Practitioner Medical Doctor 94994 01/17/2025

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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 4/3/2025



* 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.