License Verification

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HEATHER CHRISTEN COLLAZO

License Number: PA9109347

Data As Of 1/26/2026

Profession
Physician Assistant
License
PA9109347
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
01/21/2016
Address of Record
12416 66th street N Suite A
Alexander Orthopedics
LARGO, FL 33773
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2144 Seven Springs Blvd Suite Alexander Orthopedics
TRINITY, FL 34655
Address
1325 Belcher Road SMART Care Surgery Center
PALM HARBOR, FL 34683
Address
12416 66th street N Suite A Alexander Orthopedics
LARGO, FL 33773
Address
3010 STARKEY BLVD. LONGLEAF SURGERY CENTER
NEW PORT RICHEY, FL 34655
Address
6600 MADISON ST. MORTON PLANT NORTH BAY HOSPITAL
NEW PORT RICHEY, FL 34652
Name Relationship Profession License Effective Date
HOLSETH, SAUNDRA YVONNE Supervising Prescribing Practitioner Osteopathic Physician 14412 01/15/2026
KOPIEC, ADAM Supervising Prescribing Practitioner Medical Doctor 158094 05/23/2024

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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 1/26/2026



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** 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.


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