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DONALD VINAY KUMAR PIDUGU

License Number: PA9108947

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9108947
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/01/2015
Address of Record
5975, sunset drive suite 402
miami
MIAMI, FL 33143
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
13001 N. KENDALL DRIVE BHUC AT WEST KENDALL
MIAMI, FL 33186
Name Relationship Profession License Effective Date
ARROYO, ADALBERTO DAVID Supervising Prescribing Practitioner Medical Doctor 94941 12/01/2017
AYMERICH, ENRIQUE JOAQUIN Supervising Prescribing Practitioner Medical Doctor 102602 02/05/2018
CABRERA, DENISE Supervising Prescribing Practitioner Medical Doctor 81824 02/05/2018
CARPIO, ROBERTO Supervising Prescribing Practitioner Medical Doctor 102273 02/05/2018
CHAN, SUSANNA UN-SAN Supervising Prescribing Practitioner Osteopathic Physician 13479 02/05/2018
CHEDEBEAU, FERNANDO Supervising Prescribing Practitioner Medical Doctor 105499 02/05/2018
GARCIA, DINA ZAKI Supervising Prescribing Practitioner Osteopathic Physician 11587 02/05/2018
HAMMAD, ZEIDAN Supervising Prescribing Practitioner Medical Doctor 97750 02/05/2018
HEVIA, ALFREDO Supervising Prescribing Practitioner Medical Doctor 89871 02/05/2018
MEDEROS, RAINER Supervising Prescribing Practitioner Medical Doctor 102176 02/05/2018
NONELL, JORGE LUIS Supervising Prescribing Practitioner Medical Doctor 94909 02/05/2018
PANDO, JARY DR Supervising Prescribing Practitioner Medical Doctor 94774 02/05/2018
PARDO, DAVERT Supervising Prescribing Practitioner Medical Doctor 89900 02/05/2018
PERERA, ALEXIS MD Supervising Prescribing Practitioner Medical Doctor 97052 02/05/2018
PEREZ, JOSE RAMON Supervising Prescribing Practitioner Medical Doctor 125214 02/05/2018
PURON, LUIS ENRIQUE Supervising Prescribing Practitioner Medical Doctor 97466 02/05/2018

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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.


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.