License Verification

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HEATHER WIDELL CHASTAIN

License Number: PA9104484

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9104484
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/14/2008
Address of Record
12902 usf MAGNOLIA DRIVE
TAMPA, FL 33612
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
ANAYA, DANIEL ALFREDO Supervising Prescribing Practitioner Medical Doctor 124095 12/14/2021
DENBO, JASON WILLIAM Supervising Prescribing Practitioner Medical Doctor 139635 01/31/2023
DESSUREAULT, SOPHIE Supervising Prescribing Practitioner Medical Doctor 87239 11/12/2021
FELDER, SETH Supervising Prescribing Practitioner Medical Doctor 132608 11/05/2021
FLEMING, JASON BATES Supervising Prescribing Practitioner Medical Doctor 133176 12/12/2022
HODUL, PAMELA JOY Supervising Prescribing Practitioner Medical Doctor 88180 11/18/2021
MALAFA, MOKENGE PETER Supervising Prescribing Practitioner Medical Doctor 91541 11/18/2021
PIMIENTO ECHEVERRY, JOSE MARIO Supervising Prescribing Practitioner Medical Doctor 105668 11/02/2021
SANCHEZ, JULIAN Supervising Prescribing Practitioner Medical Doctor 117577 11/02/2021

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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 12/2/2024



* 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.