License Verification

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MADELINE VICTORIA GRANT

License Number: PA9116601

Data As Of 12/4/2024

Profession
Physician Assistant
License
PA9116601
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/04/2022
Address of Record
836 SUNSET LAKE BLVD
SUITE 101
VENICE, FL 34292
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
714 DOCTORS DR
ENGLEWOOD, FL 34223
Name Relationship Profession License Effective Date
SORIANO, ANDRES OMAR Supervising Prescribing Practitioner Medical Doctor 118024 03/20/2023
SUGAR, DAVID ALLEN Supervising Prescribing Practitioner Medical Doctor 73607 10/17/2022

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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 12/4/2024



* 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.