License Verification

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RAHUL VINOD DESHMUKH

License Number: ME90643

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME90643
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/18/2004
Address of Record
10475 Centurion Pkwy N
SUITE 220
JACKSONVILLE, FL 32256
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
4565 US Highway 17 Ste. 200
FLEMING ISLAND, FL 32003
Address
15255 Max Legget Pkwy Ste 5300
JACKSONVILLE, FL 32218
Address
2627 Riverside Avenue #300
JACKSONVILLE, FL 32204
Address
232 Ponte Vedra Park Dr
PONTE VEDRA, FL 32082
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BRAREN, ERIKA MORGAN Prescribing Physician Assistant Physician Assistant 9105315 6/27/2016
HEATH, DIANE MARIE MS Prescribing Physician Assistant Physician Assistant 9101440 6/30/2016
HEEKIN ORTHOPEDIC SPECIALISTS HCCE Health Care Clinic Establishment Permit 817 1/2/2009
PETERS, CORY GRANT Prescribing Physician Assistant Physician Assistant 9106781 6/30/2016
SUTTON, WILLIAM RYAN Dispensing Physician Assistant Physician Assistant 9102988 7/12/2022
SUTTON, WILLIAM RYAN Prescribing Physician Assistant Physician Assistant 9102988 6/27/2016
TARDIF, BRIAN DANIEL Dispensing Physician Assistant Physician Assistant 9106048 7/13/2022
TARDIF, BRIAN DANIEL Prescribing Physician Assistant Physician Assistant 9106048 6/30/2016
THOMPSON, LINSEY Prescribing Physician Assistant Physician Assistant 9108530 7/11/2016

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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.