License Verification

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MANIHA KHAN

License Number: PA9121300

Data As Of 9/9/2026

Profession
Physician Assistant
License
PA9121300
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
02/04/2026
Address of Record
11300 NE 2nd ave
miami shores
MIAMI SHORES, FL 33161
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
BASTA, MARTEN NABIL Supervising Prescribing Practitioner Medical Doctor 157378 06/16/2026
CLUNE, JAMES Supervising Prescribing Practitioner Medical Doctor 177274 06/09/2025
EVGENIOU, EVGENIOS Supervising Prescribing Practitioner Medical Doctor 159448 06/18/2026
NEVES, ROGERIO IZAR Supervising Prescribing Practitioner Medical Doctor 169429 06/11/2026
OLLA, DANIELLE ROSE Supervising Prescribing Practitioner Medical Doctor 168853 06/30/2026

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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 9/9/2026



* 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.