License Verification

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JAMES EDWARD DAVIS

License Number: PA9107700

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9107700
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
12/05/2013
Address of Record
16915 Scuba Crest St
WIMAUMA, FL 33598
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
5113 SR 674 Ste 108
WIMAUMA, FL 33598
Name Relationship Profession License Effective Date
NANDA, PAUL KALRA Supervising Dispensing Practitioner Medical Doctor 117861 03/10/2021
PATEL, AMESH JITENDRA Supervising Dispensing Practitioner Medical Doctor 114691 03/01/2024
PATEL, AMESH JITENDRA Supervising Prescribing Practitioner Medical Doctor 114691 02/20/2024

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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 12/2/2024



* 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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