License Verification

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MARYCEL MENDEZ RODRIGUEZ

License Number: PA9107500

Data As Of 4/24/2025

Profession
Physician Assistant
License
PA9107500
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/17/2013
Address of Record
5639 NW 113TH CT
DORAL, FL 33178
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
12014 MIRAMAR PARKWAY OCCUPATIONAL MEDICINE CENTERS OF AMERICA
MIRAMAR, FL 33025
Name Relationship Profession License Effective Date
BICHARA TOBAR, JAIME ARNOLDO M D Supervising Dispensing Practitioner Medical Doctor 129582 04/09/2025
CARDELLA, RAFAEL ENRIQUE REYES Supervising Prescribing Practitioner Medical Doctor 38983 02/05/2025

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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 4/24/2025



* 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.