License Verification

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JUSTIN DAVID WASDIN

License Number: PA9110163

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9110163
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/18/2017
Address of Record
10000 SW INNOVATION WAY
TMC
PORT SAINT LUCIE, FL 34987
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
200 HOSPITAL AVENUE MARTIN NORTH HOSPITAL
STUART, FL 34994
Address
2100 SALERNO ROAD MARTIN SOUTH HOSPITAL
STUART, FL 34997
Name Relationship Profession License Effective Date
ALVARENGA, EMANUELA SILVA Supervising Prescribing Practitioner Medical Doctor 144552 02/22/2023
CHAUDHARY, ASADULLA Supervising Prescribing Practitioner Medical Doctor 144435 02/23/2023
HATZOUDIS, GEORGIOS Supervising Prescribing Practitioner Medical Doctor 144433 09/12/2023
KAPPUS, MOJDEH SHEILA Supervising Prescribing Practitioner Medical Doctor 160994 09/15/2023
LANDRY, MILES Supervising Prescribing Practitioner Medical Doctor 146002 03/02/2023
MOYER, PHILIP WESLEY Supervising Prescribing Practitioner Medical Doctor 102679 06/26/2017
PEEBLES, MATTHEW NELSON Supervising Prescribing Practitioner Medical Doctor 77690 06/26/2017
SKLOW, BRADFORD Supervising Prescribing Practitioner Medical Doctor 152175 03/10/2023

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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.