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SANDRA LAREAU SHEPHERD

License Number: PA9101579

Data As Of 10/28/2026

Profession
Physician Assistant
License
PA9101579
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2028
License Original Issue Date
03/13/2001
Address of Record
10000 W. COLONIAL DR., STE 282
OHHVI
OCOEE, FL 34761
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
9400 Turkey Lake Rd
ORLANDO, FL 32819
Address
52 W. Underwood Street
ORLANDO, FL 32806
Address
1900 Don Wickham Drive
CLERMONT, FL 34711
Address
1222 S Orange Avenue Orlando Health Heart & Vascular Inst
ORLANDO, FL 32806
Address
2080 OAKLEY SEAVER DR. STE 120 MID FLORIDA CARDIOLOGY
CLERMONT, FL 34711
Address
1222 South Orange Ave 3rd Floor
ORLANDO, FL 32806
Name Relationship Profession License Effective Date
ABBASI, MOHAMMAD NABEEL Supervising Prescribing Practitioner Medical Doctor 128437 10/22/2026
ADCOCK, G KENDRIX MD Supervising Prescribing Practitioner Medical Doctor 47879 10/22/2026
AKRAM, KAMRAN Supervising Prescribing Practitioner Medical Doctor 112224 10/22/2026
AL-BALBISSI, LAITH ADLI Supervising Prescribing Practitioner Medical Doctor 145283 10/22/2026
ALETI, SUMITH C Supervising Prescribing Practitioner Medical Doctor 120093 10/22/2026
ANTONETTI, ILLENA Supervising Prescribing Practitioner Medical Doctor 115814 10/22/2026
ARRIETA GARCIA, CARLOS EMIGDIO Supervising Prescribing Practitioner Medical Doctor 139518 10/22/2026
BAJAJ, NEERAJ MD Supervising Prescribing Practitioner Medical Doctor 108724 10/22/2026
BAWANEY, IMRAN M Supervising Prescribing Practitioner Medical Doctor 95512 10/22/2026
BELLO, DAVID Supervising Prescribing Practitioner Medical Doctor 87209 10/22/2026
BOSWELL, ROBERT BLAN Supervising Prescribing Practitioner Medical Doctor 34881 10/22/2026
CHEN, ALLAN Supervising Prescribing Practitioner Medical Doctor 127623 10/22/2026
CUSCO, JORGE ARTURO Supervising Prescribing Practitioner Medical Doctor 75797 10/22/2026
DEMORI, MARIA CAROLINA Supervising Prescribing Practitioner Medical Doctor 105073 10/22/2026
DOMESCEK, RONALD RICHARD Supervising Prescribing Practitioner Medical Doctor 57239 10/22/2026
DUGGAL, CHANDRESH Supervising Prescribing Practitioner Medical Doctor 65215 10/22/2026
DURAN, AURELIO Supervising Prescribing Practitioner Medical Doctor 56210 10/22/2026
EINHORN, ARNOLD MARK Supervising Prescribing Practitioner Medical Doctor 57247 10/22/2026
FAROOQ, IMRAN S Supervising Prescribing Practitioner Medical Doctor 132467 10/22/2026
FILART, ROLAND AGCAOILI Supervising Prescribing Practitioner Medical Doctor 73379 10/22/2026
GARCIA, JOEL A Supervising Prescribing Practitioner Medical Doctor 113672 10/22/2026
GARCIA, JOEL RICHARD Supervising Prescribing Practitioner Medical Doctor 93822 10/22/2026
GARCIA, LUIS ISAAC Supervising Prescribing Practitioner Medical Doctor 123130 10/22/2026
GHUMMAN, MUHAMMAD Supervising Prescribing Practitioner Medical Doctor 132606 10/22/2026
GUGUCHEV, PAVEL ATANASSOV Supervising Prescribing Practitioner Medical Doctor 80532 10/22/2026
GUNASEKERA, LUSHANTHA SAJOTHA Supervising Prescribing Practitioner Medical Doctor 90665 10/22/2026
GUPTA, MOHIT Supervising Prescribing Practitioner Medical Doctor 120229 10/22/2026
HANNA, MICHAEL N Supervising Prescribing Practitioner Medical Doctor 139872 10/22/2026
HIGGINS, JONATHAN AMAHL Supervising Prescribing Practitioner Medical Doctor 116861 10/22/2026
HILL, DUSTIN R Supervising Prescribing Practitioner Medical Doctor 127841 10/22/2026
JAFFE, LINDA ELLEN Supervising Prescribing Practitioner Medical Doctor 91168 10/22/2026
KASI, VIJAYKUMAR SENNIAPPAN Supervising Prescribing Practitioner Medical Doctor 102108 10/22/2026
KHAWAJA, FARHAN JAVED Supervising Prescribing Practitioner Medical Doctor 121488 10/22/2026
KOLLI, SWATHY Supervising Prescribing Practitioner Medical Doctor 106164 10/22/2026
KONERU, SUSHMA Supervising Prescribing Practitioner Medical Doctor 131009 10/22/2026
LANZA, SALVADOR NICHOLAS Supervising Prescribing Practitioner Medical Doctor 53222 10/22/2026
LEFRAN, JOSE ALBERTO Supervising Prescribing Practitioner Medical Doctor 70177 10/22/2026
LOPEZ, PABLO ROBERTO Supervising Prescribing Practitioner Medical Doctor 136980 10/22/2026
MANIAR, PARIMAL BHUPENDRA Supervising Prescribing Practitioner Medical Doctor 90140 10/22/2026
MANTECON, ISRAEL JUAN Supervising Prescribing Practitioner Medical Doctor 54748 10/22/2026
MEDIRATTA, SUNDEEP Supervising Prescribing Practitioner Medical Doctor 85297 10/22/2026
MERCADO, CALEB Supervising Prescribing Practitioner Medical Doctor 65144 10/22/2026
MOGALI, KIRAN KUMAR Supervising Prescribing Practitioner Medical Doctor 131842 10/22/2026
ORTIZ GONZALEZ, YAHAIRA Supervising Prescribing Practitioner Medical Doctor 119349 10/22/2026
PATEL, DEVEN MAHADEV Supervising Prescribing Practitioner Medical Doctor 134975 10/22/2026
PATEL, HARENDRA Supervising Prescribing Practitioner Medical Doctor 116295 10/22/2026
QAMAR, SHAHID Supervising Prescribing Practitioner Medical Doctor 142305 10/22/2026
RODRIGUEZ-ORTIZ, JONATHAN Supervising Prescribing Practitioner Medical Doctor 139647 10/22/2026
ROTHBARD, ROBERT L Supervising Prescribing Practitioner Medical Doctor 53549 10/22/2026
SAND, MARK EVAN MD Supervising Prescribing Practitioner Medical Doctor 72498 10/22/2026
SHAHZAD, KHURRAM Supervising Prescribing Practitioner Medical Doctor 105659 10/22/2026
SHARMA, RAGHAV Supervising Prescribing Practitioner Medical Doctor 139953 10/22/2026
SHROFF, SANJEEV K Supervising Prescribing Practitioner Medical Doctor 69573 10/22/2026
STEINER, MARK ALLEN Supervising Prescribing Practitioner Medical Doctor 82743 10/22/2026
TAWAM, MOUAZ Supervising Prescribing Practitioner Medical Doctor 65619 10/22/2026
TAYLOR, PETER DONOVAN Supervising Prescribing Practitioner Medical Doctor 71466 10/22/2026
URIBE EUSSE, JORGE ANDRES Supervising Prescribing Practitioner Medical Doctor 113604 10/22/2026
VAN DEN BERG, EGERTON KING JR Supervising Prescribing Practitioner Medical Doctor 54054 10/22/2026
VIVEK, DEEPAK PATHE Supervising Prescribing Practitioner Medical Doctor 92930 10/22/2026
WALDMAN, ADAM JASON Supervising Prescribing Practitioner Medical Doctor 85165 10/22/2026
WALKER, KAREN LEONIA Supervising Prescribing Practitioner Medical Doctor 142884 10/22/2026
WINTER, ROBERT PETER MD Supervising Prescribing Practitioner Medical Doctor 57851 10/22/2026
ZAYAS-TORRES, CARLOS ROBERTO Supervising Prescribing Practitioner Medical Doctor 138754 10/22/2026

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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



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