License Verification

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SHIVANAND VIJAY PERSAD

License Number: PA9111135

Data As Of 4/25/2025

Profession
Physician Assistant
License
PA9111135
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
02/19/2018
Address of Record
7050 W Palemetto Park Rd
Suite 30
BOCA RATON, FL 33433
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
4269 NW 88th Ave
SUNRISE, FL 33351
Address
3990 Sheridan Street Suite 101 Emerald Hills Medical Center
HOLLYWOOD, FL 33021
Name Relationship Profession License Effective Date
SEGURA, RENATO MD Supervising Dispensing Practitioner Medical Doctor 135224 04/13/2022
SEGURA, RENATO MD Supervising Prescribing Practitioner Medical Doctor 135224 04/13/2022

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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 4/25/2025



* 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.


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.