License Verification

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MOJDEH SHEILA KAPPUS

License Number: ME160994

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME160994
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
02/17/2023
Address of Record
3801 MHPG Surgical Group at Fa
3801 South Kanner Hwy
STUART, FL 34994
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

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Name Relationship Profession License Effective Date
DIAZ, SAMANTHA Prescribing Physician Assistant Physician Assistant 9116998 9/15/2023
GATES, SYLVIA MARIE Prescribing Physician Assistant Physician Assistant 9105460 9/15/2023
MILLER, ALLYSON Prescribing Physician Assistant Physician Assistant 9112820 9/15/2023
WASDIN, JUSTIN DAVID Prescribing Physician Assistant Physician Assistant 9110163 9/15/2023

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



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.