License Verification

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LEEYA RENEE GOMEZ

License Number: PA9104339

Data As Of 5/4/2025

Profession
Physician Assistant
License
PA9104339
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/06/2007
Address of Record
13800 Veterans Way
LAKE NONA VA
ORLANDO, FL 32827
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
CARILLI, ALLISON RENEE Supervising Prescribing Practitioner Medical Doctor 120063 10/21/2016
CONSTANTINO, SUSAN MD Supervising Prescribing Practitioner Medical Doctor 109355 10/21/2016
CORRALES-YEPEZ, MARIA GABRIELA Supervising Prescribing Practitioner Medical Doctor 124210 11/07/2023
GEORGE, SIMI Supervising Prescribing Practitioner Medical Doctor 116521 10/21/2016
GOPALAN, PRIYA Supervising Prescribing Practitioner Medical Doctor 105473 11/07/2023
KANKIPATI, SHOBA Supervising Prescribing Practitioner Medical Doctor 147203 11/07/2023
PATEL, SHEEL Supervising Prescribing Practitioner Medical Doctor 136305 11/07/2023
SIMON, KENNETH MICHAEL DO Supervising Prescribing Practitioner Osteopathic Physician 7658 10/21/2016
STANKO, LAURA MARIE Supervising Prescribing Practitioner Medical Doctor 157419 11/07/2023

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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 5/4/2025



* 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.