License Verification

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SHANA-KAY NIEKESHA MAYE

License Number: PA9106411

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9106411
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
01/23/2012
Address of Record
2007 Palm Beach Lakes Blvd
SUITE 105
WEST PALM BEACH, FL 33409
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
BRIDGES, LLOYD LESLIE Supervising Dispensing Practitioner Medical Doctor 157967 11/13/2024
BRIDGES, LLOYD LESLIE Supervising Prescribing Practitioner Medical Doctor 157967 11/13/2024
CHRZAN, DOMINIK MICHAL Supervising Prescribing Practitioner Medical Doctor 117139 05/08/2023
SINISTERRA, JUAN IGNACIO Supervising Prescribing Practitioner Osteopathic Physician 14180 01/09/2024

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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.