License Verification

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MARK ANDREW ROSEN

License Number: PA9109199

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9109199
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/29/2015
Address of Record
8895 N Military Trail
Suite 201C
PALM BEACH GARDENS, FL 33410
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ACOSTA, OMAR Supervising Prescribing Practitioner Medical Doctor 163331 05/15/2024
AUGUSTIN, AROLD JOSEPH Supervising Prescribing Practitioner Medical Doctor 72155 05/10/2024
BADACH, SARAH JANE Supervising Prescribing Practitioner Osteopathic Physician 17592 05/15/2024
BEAUPORT, VIKYE Supervising Prescribing Practitioner Medical Doctor 140564 05/11/2024
GIL, SEBASTIAN Supervising Prescribing Practitioner Medical Doctor 150771 05/10/2024
GOODHUE, BRIAN Supervising Prescribing Practitioner Osteopathic Physician 16414 11/19/2024
HAMPTON, CHADWICK BURDEN Supervising Dispensing Practitioner Medical Doctor 135347 02/21/2024
HAMPTON, CHADWICK BURDEN Supervising Prescribing Practitioner Medical Doctor 135347 02/14/2024
KHER, PRAVEEN K Supervising Prescribing Practitioner Osteopathic Physician 19338 05/10/2024
KIMM, JEFFREY Supervising Prescribing Practitioner Medical Doctor 145181 10/19/2024
LAMOUR, DANIELLA Supervising Prescribing Practitioner Osteopathic Physician 19702 09/06/2024
LARKIN, STEPHEN GRANT Supervising Prescribing Practitioner Medical Doctor 46483 05/10/2024
MILLER, MICHAEL RAY Supervising Prescribing Practitioner Medical Doctor 129449 05/18/2024
NNADI, CHISOM Supervising Prescribing Practitioner Medical Doctor 166766 06/19/2024
SIMPSON, DAMION Supervising Prescribing Practitioner Medical Doctor 162140 09/05/2024

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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.