License Verification
BAHAR MIAH
License Number: ME108183
Data As Of 12/2/2024
- Address
- 7848 W. IRLO BRONSON HWY CENTRA CARE
- KISSIMMEE, FL 34747
- Address
- 3293 GREENWALD WAY NORTH CENTRA CARE
- KISSIMMEE, FL 34741
- Address
- 4320 W VINE STREET CENTRA CARE
- KISSIMMEE, FL 34746
- Address
- 12500 S APOPKA VINELAND RD CENTRA CARE
- ORLANDO, FL 32836
- Address
- 855 S US HIGHWAY 17-92 CENTRA CARE
- LONGWOOD, FL 32750
- Address
- 8010 RED BUG ROAD CENTRA CARE
- OVIEDO, FL 32765
- Address
- 2301 SAND LAKE ROAD CENTRA CARE
- ORLANDO, FL 32809
- Address
- 250 N ALAFAYA TRAIL SUITE 135 CENTRA CARE
- ORLANDO, FL 32825
- Address
- 3005 DANIELS ROAD CENTRA CARE
- WINTER GARDEN, FL 34787
- Address
- 3099 ALOMA AVENUE CENTRA CARE
- WINTER PARK, FL 32789
- Address
- 901 N. LAKE DESTINY DRIVE SUITE 400 CENTRA CARE
- MAITLAND, FL 32751
- Address
- 6225 SEA HARBOR DRIVE
- ORLANDO, FL 32821
- Address
- 1000 DARDEN CENTER DRIVE
- ORLANDO, FL 32837
- Address
- 831 SIMPSON ROAD
- KISSIMMEE, FL 34744
- Address
- 40100 US-27
- DAVENPORT, FL 33837
- Address
- 509 S SEMORAN BLVD CENTRA CARE
- ORLANDO, FL 32807
- Address
- 15701 STATE ROAD 50 SUITE #101 CENTRA CARE
- CLERMONT, FL 34711
- Address
- 630 N BUMBY AVENUE CENTRA CARE
- ORLANDO, FL 32803
- Address
- 5810 S SEMORAN BLVD CENTRA CARE
- ORLANDO, FL 32822
- Address
- 8014 CONROY-WINDERMERE RD SUITE 104 CENTRA CARE
- ORLANDO, FL 32819
- Address
- 8701 MAITLAND SUMMIT BLVD CENTRA CARE
- ORLANDO, FL 32810
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| ALEXIS, JANEAH | Supervising Prescribing Practitioner | Osteopathic Physician | 20003 | 06/28/2023 |
| BERGMAN, JEFFERY JOSEPH | Supervising Prescribing Practitioner | Osteopathic Physician | 11615 | 02/16/2023 |
| BISTER, MARY KATHLEEN | Supervising Prescribing Practitioner | Medical Doctor | 156254 | 02/16/2023 |
| CROFT, DEVIN | Supervising Prescribing Practitioner | Medical Doctor | 162073 | 02/16/2023 |
| DESAI, HARSHEEL | Supervising Prescribing Practitioner | Medical Doctor | 149295 | 02/16/2023 |
| DONG, ROBIN | Supervising Prescribing Practitioner | Osteopathic Physician | 16100 | 11/28/2022 |
| FOPPE, MARK ANDREW DO | Supervisor | Osteopathic Physician | 8701 | 09/01/2020 |
| HATHCOCK, AMBER MARIE | Supervising Prescribing Practitioner | Medical Doctor | 152148 | 02/16/2023 |
| HUME, ERIK TIMOTHY DO | Supervising Prescribing Practitioner | Osteopathic Physician | 17391 | 02/16/2023 |
| ICE, SHIRLEY ANN M D | Supervisor | Medical Doctor | 71113 | 07/07/2020 |
| KLEINMAN, DANA | Supervising Prescribing Practitioner | Osteopathic Physician | 11037 | 07/24/2021 |
| KUMAR, DAVID RAJENDRA | Supervising Prescribing Practitioner | Medical Doctor | 159475 | 02/16/2023 |
| NAPPI, ALEX | Supervising Prescribing Practitioner | Medical Doctor | 125466 | 01/10/2023 |
| NEWMAN, ALISA JANELL | Supervising Prescribing Practitioner | Medical Doctor | 146748 | 01/10/2023 |
| ORTOLANI, MARK TIMOTHY | Supervising Prescribing Practitioner | Medical Doctor | 156092 | 01/10/2023 |
| PACHECO, AMANDA | Supervising Prescribing Practitioner | Osteopathic Physician | 18694 | 01/10/2023 |
| PARKS, SHAINA | Supervising Prescribing Practitioner | Osteopathic Physician | 16980 | 01/10/2023 |
| PARTYKA, BRONISLAW J | Supervising Prescribing Practitioner | Medical Doctor | 114822 | 01/10/2023 |
| PATCH, MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 132395 | 01/10/2023 |
| PEPE, JOSEPH JR | Supervising Prescribing Practitioner | Osteopathic Physician | 16193 | 01/10/2023 |
| PERFETTI, JOYCE | Supervising Prescribing Practitioner | Osteopathic Physician | 15807 | 01/10/2023 |
| PERRY, PAMELA MARIA MD | Supervising Prescribing Practitioner | Medical Doctor | 108679 | 01/10/2023 |
| PIGMAN, EDWIN CARY MD | Supervising Prescribing Practitioner | Medical Doctor | 66985 | 01/10/2023 |
| PORTO, ADRIANA | Supervising Prescribing Practitioner | Medical Doctor | 143122 | 01/10/2023 |
| POUND, AMY MARIE | Supervising Prescribing Practitioner | Medical Doctor | 148582 | 01/10/2023 |
| PRATOR, PAUL CARL M D | Supervising Prescribing Practitioner | Medical Doctor | 92865 | 01/10/2023 |
| PURCELL, JENNIFER | Supervising Prescribing Practitioner | Osteopathic Physician | 18765 | 01/10/2023 |
| RADFORD, SHAWN | Supervising Prescribing Practitioner | Medical Doctor | 143947 | 01/10/2023 |
| RAGBEER, DAVID | Supervising Prescribing Practitioner | Osteopathic Physician | 17806 | 01/10/2023 |
| REYNOLDS, KYLE | Supervising Prescribing Practitioner | Osteopathic Physician | 18684 | 01/10/2023 |
| RICHARDS, PAUL JOSEPH | Supervising Prescribing Practitioner | Medical Doctor | 123018 | 01/10/2023 |
| ROGERS, HOWARD LEE | Supervising Prescribing Practitioner | Medical Doctor | 71304 | 01/10/2023 |
| ROMANO, FREDERICK P | Supervising Prescribing Practitioner | Osteopathic Physician | 11078 | 01/10/2023 |
| ROSA-DE JESUS, CLARINES | Supervising Prescribing Practitioner | Medical Doctor | 110997 | 01/10/2023 |
| RUBERO, JOSE A | Supervising Prescribing Practitioner | Medical Doctor | 84660 | 02/16/2023 |
| SAAD, AMANDA | Supervising Prescribing Practitioner | Medical Doctor | 160404 | 02/16/2023 |
| SAMUEL, PETER AIAD | Supervising Prescribing Practitioner | Medical Doctor | 132116 | 01/10/2023 |
| SELLEY, VICTORIA HUTTO | Supervising Prescribing Practitioner | Osteopathic Physician | 15469 | 01/10/2023 |
| SMITH, MATTHEW WAYNE | Supervising Prescribing Practitioner | Osteopathic Physician | 16446 | 01/10/2023 |
| SWAN, TRICIA BRENEE | Supervising Prescribing Practitioner | Medical Doctor | 107005 | 02/16/2023 |
| TALADRIZ, ARTURO | Supervising Prescribing Practitioner | Medical Doctor | 66011 | 02/16/2023 |
| VACCARO, LISA MARIE | Supervising Prescribing Practitioner | Osteopathic Physician | 18651 | 01/10/2023 |
| VAN ETTEN, BRITTNEY MICHELLE | Supervising Prescribing Practitioner | Osteopathic Physician | 17756 | 01/10/2023 |
| VAN ETTEN, CHRISTOPHER JAMES | Supervising Prescribing Practitioner | Osteopathic Physician | 16829 | 01/10/2023 |
| VELASCO, WILLIAM J | Supervising Prescribing Practitioner | Medical Doctor | 121914 | 01/10/2023 |
| VON BARGEN, WILLIAM FREDERICK JR | Supervisor | Osteopathic Physician | 9286 | 07/07/2020 |
| WALDMAN, ALEX JEFFREY | Supervising Prescribing Practitioner | Medical Doctor | 143889 | 01/10/2023 |
| WENZEL, SERGE ALEXANDER | Supervising Prescribing Practitioner | Osteopathic Physician | 14350 | 01/10/2023 |
| WHITE, JEREMY V | Supervising Prescribing Practitioner | Osteopathic Physician | 11399 | 01/10/2023 |
| WILLIAMS, ARTHUR LEE II | Supervising Prescribing Practitioner | Medical Doctor | 107960 | 01/10/2023 |
| YOHANNES-PETERS, FITSUM | Supervising Prescribing Practitioner | Medical Doctor | 92187 | 01/10/2023 |
Click on the License Number to view License Details for that Practitioner
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| BABBS, GARRETT ADAM | Prescribing Physician Assistant | Physician Assistant | 9108798 | 3/1/2017 |
| BARNES, MICHAEL WILLIAM | Prescribing Physician Assistant | Physician Assistant | 9102604 | 3/1/2023 |
| BARNES, RICHARD R JR | Prescribing Physician Assistant | Medical Doctor | 69285 | 6/27/2024 |
| BEACH, KEVIN RICHARD | Subordinate | Medical Doctor | 107000 | 3/25/2020 |
| BERRY, RANAE SHANNON | Prescribing Physician Assistant | Physician Assistant | 9103545 | 8/10/2022 |
| BOLTON, ASHLEY MARIE | Prescribing Physician Assistant | Physician Assistant | 9108069 | 3/21/2023 |
| BOWMAN, RYAN SCOTT | Prescribing Physician Assistant | Physician Assistant | 9117823 | 9/12/2023 |
| CLINE, JESSICA MARIE LYNN | Prescribing Physician Assistant | Physician Assistant | 9116036 | 10/20/2023 |
| COBB WEYAND, ALYSSA CLAIRE | Prescribing Physician Assistant | Physician Assistant | 9109483 | 3/1/2023 |
| CONDE, NATALIE E | Prescribing Physician Assistant | Physician Assistant | 9105106 | 8/1/2021 |
| CONTI, LORETTA MARIE | Prescribing Physician Assistant | Physician Assistant | 9102660 | 4/6/2022 |
| CORINTH, TASHA | Prescribing Physician Assistant | Physician Assistant | 9110450 | 1/5/2018 |
| CRAMER, GREGORY ROBERT | Prescribing Physician Assistant | Physician Assistant | 9116628 | 1/9/2023 |
| CRAWFORD, PERRY WILLIAM | Prescribing Physician Assistant | Physician Assistant | 9113494 | 8/11/2023 |
| CRUZ, CHRISTINE | Prescribing Physician Assistant | Physician Assistant | 9107269 | 8/1/2022 |
| DAILEY, CHRISTY A | Prescribing Physician Assistant | Physician Assistant | 9103849 | 11/21/2016 |
| DEMARSE, WILLIAM ROBEY III | Prescribing Physician Assistant | Physician Assistant | 9101285 | 1/10/2023 |
| DIEHL, NATHAN JEROLD | Prescribing Physician Assistant | Physician Assistant | 9113328 | 3/21/2023 |
| DOLAN, NICHOLAS ALEXANDER | Prescribing Physician Assistant | Physician Assistant | 9113623 | 2/16/2023 |
| EVANGELISTI, MINDY | Prescribing Physician Assistant | Physician Assistant | 9118901 | 7/9/2024 |
| FODERA, FRANK ANTHONY | Prescribing Physician Assistant | Physician Assistant | 9117300 | 5/15/2023 |
| FREEMAN, KELLIE CHRISTINE | Prescribing Physician Assistant | Physician Assistant | 9110742 | 8/1/2024 |
| GAREL, JOHAN ISAIAH | Prescribing Physician Assistant | Physician Assistant | 9106448 | 11/20/2021 |
| GLEAVES, RACHEL | Prescribing Physician Assistant | Physician Assistant | 9117325 | 5/19/2023 |
| GOGLIO, ALEC PERRY | Prescribing Physician Assistant | Physician Assistant | 9117740 | 9/1/2023 |
| GOZAR, JOHN ALVIN MD | Prescribing Physician Assistant | Medical Doctor | 91258 | 4/6/2022 |
| HAMIL, JUSTIN | Prescribing Physician Assistant | Physician Assistant | 9115544 | 2/4/2022 |
| HANCOCK, MAE ROSANNE VILLEGAS | Prescribing Physician Assistant | Physician Assistant | 9105391 | 1/16/2022 |
| HARDEN, KYLE | Prescribing Physician Assistant | Physician Assistant | 9113509 | 3/21/2023 |
| HAVERCHAK, ALEXANDRA | Prescribing Physician Assistant | Physician Assistant | 9115748 | 1/10/2023 |
| HOLT, CHARDE BREANN | Prescribing Physician Assistant | Physician Assistant | 9112643 | 8/25/2021 |
| INJETY, SHYAM KUMAR RAJENDRA | Prescribing Physician Assistant | Physician Assistant | 9108987 | 11/19/2021 |
| JASIMUDDIN, SHEIKH KHWAJA | Subordinate | Medical Doctor | 100463 | 2/1/2021 |
| JOHNSON, HEATHER ANNE | Prescribing Physician Assistant | Physician Assistant | 3023 | 1/10/2023 |
| JOUBERT, CHRISTY LAU | Prescribing Physician Assistant | Physician Assistant | 9113148 | 3/14/2023 |
| KAZAR, JAMIE LYNN | Prescribing Physician Assistant | Physician Assistant | 9117682 | 9/20/2023 |
| KHURRAM, SEHRISH | Prescribing Physician Assistant | Physician Assistant | 9118360 | 8/1/2024 |
| KIRBY, SARA E | Prescribing Physician Assistant | Medical Doctor | 113449 | 2/1/2023 |
| KIRTZ, JEREMY FECHTER | Prescribing Physician Assistant | Medical Doctor | 108993 | 1/10/2023 |
| LAGMAY, CASEY MARIE | Prescribing Physician Assistant | Physician Assistant | 9107276 | 3/14/2023 |
| LAMBIE, NATALIE DAWN | Prescribing Physician Assistant | Osteopathic Physician | 11732 | 8/1/2024 |
| LIVOTI, REINALDO | Prescribing Physician Assistant | Physician Assistant | 9118153 | 10/30/2023 |
| MAFFEO, HEATHER NICOLE | Prescribing Physician Assistant | Physician Assistant | 9117673 | 7/28/2023 |
| MAYNARD, TIMOTHY RONALD | Prescribing Physician Assistant | Physician Assistant | 9108404 | 10/18/2017 |
| MCNALLY, MELISSA LEE | Prescribing Physician Assistant | Physician Assistant | 9102840 | 3/1/2023 |
| MILLER, NATALIE | Prescribing Physician Assistant | Physician Assistant | 9110339 | 5/12/2017 |
| MONROE, BRADLEY SEAN | Prescribing Physician Assistant | Physician Assistant | 9115248 | 1/10/2023 |
| NICHOLS, ALEXANDER CARL | Prescribing Physician Assistant | Physician Assistant | 9117561 | 7/12/2023 |
| NUNEZ-CUBILLAS, ALBERTO | Prescribing Physician Assistant | Physician Assistant | 9101680 | 8/1/2021 |
| PABST II, DAVID J | Prescribing Physician Assistant | Physician Assistant | 9117468 | 5/25/2023 |
| PARKS, THOMAS EDWARD | Prescribing Physician Assistant | Physician Assistant | 9105210 | 1/10/2023 |
| PASHEGOBA, STEVEN LEE | Prescribing Physician Assistant | Physician Assistant | 9101722 | 1/10/2023 |
| PELLISSIER, OLIVIA MARIE | Prescribing Physician Assistant | Physician Assistant | 9118062 | 10/19/2023 |
| RESTREPO, GLISET | Prescribing Physician Assistant | Physician Assistant | 9110146 | 1/10/2023 |
| RIZZO, MARISSA | Prescribing Physician Assistant | Physician Assistant | 9114944 | 3/21/2023 |
| SCHLEIF, ROBERT DAVID | Prescribing Physician Assistant | Physician Assistant | 9112559 | 8/26/2022 |
| SCOTT, RANDALL EUGENE | Prescribing Physician Assistant | Physician Assistant | 9103913 | 11/16/2021 |
| SKIDMORE, JUSTIN STUART | Prescribing Physician Assistant | Physician Assistant | 9110082 | 3/1/2023 |
| SMITH, ALLISTAIR | Prescribing Physician Assistant | Physician Assistant | 9111535 | 11/20/2022 |
| SORDAN, MICHAEL ROLF | Prescribing Physician Assistant | Physician Assistant | 9115648 | 1/10/2023 |
| STINEBECK, JARED C | Prescribing Physician Assistant | Physician Assistant | 9105546 | 1/10/2023 |
| SUCKOW, WENDY SUE | Prescribing Physician Assistant | Physician Assistant | 9101731 | 1/10/2023 |
| YEH, ANDERSON | Prescribing Physician Assistant | Physician Assistant | 9113431 | 7/14/2023 |
Click on the License Number to view License Details for that Practitioner
| 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.
