License Verification

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JOHAN MENNIG SAN ROMAN

License Number: PA3409

Data As Of 10/28/2026

Profession
Physician Assistant
License
PA3409
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
08/05/1997
Address of Record
20601 OLD CUTLER ROAD
MIAMI, FL 33189
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
CORONA, ABELARDO Supervising Prescribing Practitioner Medical Doctor 88348 10/16/2026
DOWDY, LORRAINE M DO Supervising Prescribing Practitioner Osteopathic Physician 5778 10/16/2026
FERNANDEZ, FRANCISCO RENE Supervising Prescribing Practitioner Osteopathic Physician 8777 10/16/2026
HERNANDEZ, MARK ANDREW Supervising Prescribing Practitioner Medical Doctor 84218 10/16/2026
LOPEZ, MANUEL ALEJANDRO Supervising Prescribing Practitioner Medical Doctor 81940 10/16/2026
MILLER, LUIS ALFREDO Supervising Prescribing Practitioner Medical Doctor 65522 10/16/2026
UTTAMCHANDANI, RAJ B M D Supervising Prescribing Practitioner Medical Doctor 46616 10/16/2026

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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 10/28/2026



* 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.