License Verification

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MAIRIM DAFNE DE LA RUA

License Number: ME106724

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME106724
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
03/26/2010
Address of Record
3100 SW 62 AVENUE
MIAMI, FL 33155
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2072 NE 8 St.
HOMESTEAD, FL 33033
Address
13400 SW 120 St. Suite 100
MIAMI, FL 33186
Address
12246 Miramar Parkway
PALM BEACH GARDENS, FL 33410
Address
3601 NW 107 Ave.
MIAMI, FL 33178
Address
990 W 49 St
HIALEAH, FL 33012
Address
11310 Legacy Avenue
PALM BEACH GARDENS, FL 33410
Address
3915 Biscayne Boulevard
MIAMI, FL 33137
Address
11521 S. Dixie Hwy
MIAMI, FL 33156
Address
17615 SW 97 Ave.
MIAMI, FL 33157
Address
11449 SW 40 St.
MIAMI, FL 33165
Address
15025 NW 77 Ave.
MIAMI LAKES, FL 33014
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CANNATA, ALEXA LEE Prescribing Physician Assistant Physician Assistant 9108165 8/13/2023
CARDONA, JESSICA Prescribing Physician Assistant Medical Doctor 126532 8/13/2023
CARTAS, IDALBERTO Prescribing Physician Assistant Physician Assistant 9101443 8/13/2023
CHAVARRIA, JESSICA SUSANA Prescribing Physician Assistant Physician Assistant 9111858 8/13/2023
FERNANDEZ, ELINA MARIA Prescribing Physician Assistant Physician Assistant 9103529 8/13/2023
RAY, LISA MARIE Prescribing Physician Assistant Physician Assistant 9103854 8/13/2023

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.


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.