License Verification

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KEVIN PEREZ

License Number: PA9112463

Data As Of 10/22/2025

Profession
Physician Assistant
License
PA9112463
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/05/2019
Address of Record
2400 NW 54 street
MIAMI, FL 33142
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
2400 NW 54th street
MIAMI, FL 33142
Name Relationship Profession License Effective Date
PETERSON, JOEL ROBERT Supervising Prescribing Practitioner Medical Doctor 168223 09/02/2025

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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 10/22/2025



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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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