License Verification

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IDEMUDIA GEORGE IDEHEN

License Number: ME160227

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME160227
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2025
License Original Issue Date
12/16/2022
Address of Record
975 Baptist Way
HOMESTEAD, FL 33033
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
ALZATE, ALBERTO ISAAC Prescribing Physician Assistant Medical Doctor 81335 5/10/2024
CANGE, ALIX ANDRE Prescribing Physician Assistant Physician Assistant 9104367 2/6/2024
GERRITY, MAUREEN THERESE Prescribing Physician Assistant Physician Assistant 9104138 2/6/2024
GONZALEZ, PAMELA LORENA Prescribing Physician Assistant Physician Assistant 9102005 2/6/2024
PEREIRA, FABIO DAVID Prescribing Physician Assistant Physician Assistant 9109957 2/6/2024
POGGI, JOSHUA JOSEPH Prescribing Physician Assistant Physician Assistant 9109020 2/6/2024
PREDMORE, TORRI SIMONE Prescribing Physician Assistant Physician Assistant 9103632 2/6/2024
RAJPAL, KARAN PA-C Prescribing Physician Assistant Physician Assistant 9111141 2/6/2024

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

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.