License Verification

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ABDUL SAMAD MEMON

License Number: PA9105666

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9105666
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/21/2010
Address of Record
14150 SW 136 Street
BHEC at Country Walk
MIAMI, FL 33196
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
11805 S DIXIE HIGHWAY BHUC at Pinecrest
MIAMI, FL 33156
Address
8840 BIRD RD BMP at Westchester
MIAMI, FL 33165
Address
14660 SW 8TH ST BMP at Tamiami
MIAMI, FL 33184
Address
8750 SW 144TH ST BMP at Palmetto Bay
MIAMI, FL 33176
Address
13500 SW 152ND ST BMP AT Country Walk
MIAMI, FL 33177
Address
14591 SW 26th Street BHEC at Coral Way West
MIAMI, FL 33175
Address
9520 NW 58th Street BHEC at Doral
MIAMI, FL 33178
Address
13001 N KENDALL DRIVE BHUC at West Kendall
MIAMI, FL 33186
Address
14661 SW 56TH ST BHUC at Kendale Lakes
MIAMI, FL 33175
Name Relationship Profession License Effective Date
AVILA ZAMORA, OCTAVIO Supervising Dispensing Practitioner Medical Doctor 123042 04/01/2016
AVILA ZAMORA, OCTAVIO Supervising Prescribing Practitioner Medical Doctor 123042 05/10/2016
MORONO-PONCE, IDAYLIS Supervising Dispensing Practitioner Medical Doctor 102072 04/01/2016
MORONO-PONCE, IDAYLIS Supervising Prescribing Practitioner Medical Doctor 102072 05/10/2016
PONCE DE LEON, MERCEDES Supervising Dispensing Practitioner Medical Doctor 122121 04/01/2016
PONCE DE LEON, MERCEDES Supervising Prescribing Practitioner Medical Doctor 122121 05/10/2016

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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.


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