License Verification

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CYNTHIA SUZANNE MOHNEY

License Number: PA9105466

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9105466
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/27/2010
Address of Record
731 Dunlawton Avenue
Suite 103
PORT ORANGE, FL 32127
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
126 S. NOVA ROAD ORMAND BEACH URGENT CARE
PORT ORANGE, FL 32174
Address
126 S. NOVA ROAD ORMAND BEACH URGENT CARE
PORT ORANGE, FL 32174
Name Relationship Profession License Effective Date
JAQUES, NICOLE BEALL Supervising Prescribing Practitioner Medical Doctor 132121 01/01/2023
MOHAMMED, RICHARD SHAMEED MD Supervising Prescribing Practitioner Medical Doctor 64855 08/16/2016
ROSATI, SAMUEL M Supervising Prescribing Practitioner Medical Doctor 103357 08/16/2016

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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 12/22/2024



* 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.