License Verification

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DEBRA LYNN BALDWIN

License Number: PA9109270

Data As Of 5/22/2025

Profession
Physician Assistant
License
PA9109270
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
12/15/2015
Address of Record
5507 South Congress Ave
Suite130
ATLANTIS, FL 33462
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
12989 Southern Bovd Suite 104
LOXAHATCHEE, FL 33470
Address
12955 Palms West Drive
LOXAHATCHEE, FL 33470
Name Relationship Profession License Effective Date
KELLY, BRIAN Supervising Dispensing Practitioner Medical Doctor 148365 06/08/2021
KELLY, BRIAN Supervising Prescribing Practitioner Medical Doctor 148365 06/03/2021
SINGH, TARUNDEEP Supervising Prescribing Practitioner Medical Doctor 168534 09/26/2024
ZARIFA, ROLLA Supervising Prescribing Practitioner Medical Doctor 150676 10/15/2021
ZELTZER, JACK MD Supervising Prescribing Practitioner Medical Doctor 31963 09/16/2019

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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 5/22/2025



* 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.


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