License Verification

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AMIR ABBAS AHMADIAN

License Number: ME111409

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME111409
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
10/28/2011
Address of Record
2590 Healing Way Suite 310
WESLEY CHAPEL, FL 33543
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13149 N Dale Mabry Hwy
CARROLLWOOD, FL 33618
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CUNNINGHAM, ANDREW Prescribing Physician Assistant Physician Assistant 9112114 6/17/2019
DAVID, SHADIN THOMAS Dispensing Physician Assistant Physician Assistant 9108802 11/5/2019
DAVID, SHADIN THOMAS Prescribing Physician Assistant Physician Assistant 9108802 11/5/2019
NEWBY, SUZANNE MARIE Prescribing Physician Assistant Physician Assistant 9107245 3/30/2017
ROSE, BRIANA Prescribing Physician Assistant Physician Assistant 9114257 5/20/2021

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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.


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.