License Verification

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RACHID C BAZ

License Number: ME101500

Data As Of 6/12/2024

Profession
Medical Doctor
License
ME101500
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/29/2008
Address of Record
12902 MAGNOLIA DRIVE
CSB7
TAMPA, FL 33612
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
ADAMS, KARLA MICHELE Prescribing Physician Assistant Physician Assistant 9103159 7/1/2021
ARCESE, ALANA MARIE Prescribing Physician Assistant Physician Assistant 9113184 7/1/2021
BARATTA, DANIELLE Prescribing Physician Assistant Physician Assistant 9104284 7/1/2021
BEAULLIEU, CHRISTINE Prescribing Physician Assistant Physician Assistant 9116379 10/13/2022
BIANCO, CHRISTOPHER ROBERT Prescribing Physician Assistant Physician Assistant 9110155 7/1/2021
CAPRICE, TERESA MONIQUE Prescribing Physician Assistant Physician Assistant 9110472 7/1/2021
CARDENAS, JENNIFER Prescribing Physician Assistant Physician Assistant 9114410 7/1/2021
CROSBY, NICOLETTE Prescribing Physician Assistant Physician Assistant 9113392 7/1/2021
DORIAN, ROSE Prescribing Physician Assistant Physician Assistant 9112181 7/1/2021
ESTEBAN, ZANRHA SORIANO Prescribing Physician Assistant Physician Assistant 9112378 7/1/2021
FERREY, SUSAN M Prescribing Physician Assistant Physician Assistant 2424 7/1/2021
GADOMSKI, AARON Prescribing Physician Assistant Physician Assistant 9114847 10/25/2021
GIOVE, WILLIAM GUY Prescribing Physician Assistant Physician Assistant 9103701 7/1/2021
HAUK, MICHAEL AARON Prescribing Physician Assistant Physician Assistant 9104635 7/1/2021
HAVENS, SETH Prescribing Physician Assistant Physician Assistant 9115614 8/1/2022
HOLLERS, ERIK Prescribing Physician Assistant Physician Assistant 9111681 7/1/2021
HONOR, MARK JOHN Prescribing Physician Assistant Physician Assistant 9102161 7/1/2021
HURST, HANNAH ROSE Prescribing Physician Assistant Physician Assistant 9114311 7/1/2021
KEPPEL, MEREDITH MARIE Prescribing Physician Assistant Physician Assistant 9108527 7/1/2021
KERSEY, KRISTAN KATE BRIGHT Prescribing Physician Assistant Physician Assistant 9105178 7/1/2021
KINGSBURY, LEAH GAIL Prescribing Physician Assistant Physician Assistant 9114522 7/1/2021
LOPEZ, BLANCA OMARILYS Prescribing Physician Assistant Physician Assistant 9109141 7/1/2021
LUBAS, AMBER ROSE Prescribing Physician Assistant Physician Assistant 9109032 7/1/2021
MARIN, JESSICA Prescribing Physician Assistant Physician Assistant 9109366 7/1/2021
MATTE, KRISTY HARVEY Prescribing Physician Assistant Physician Assistant 9104244 7/1/2021
MCAFEE, KIRSTEN Prescribing Physician Assistant Physician Assistant 9116324 10/24/2022
MURPHY, SAMANTHA Prescribing Physician Assistant Physician Assistant 9113527 7/1/2021
MURRAY, LOGAN SCOTT Prescribing Physician Assistant Physician Assistant 9112307 7/1/2021
PADILLA, MAYA Prescribing Physician Assistant Physician Assistant 9112705 7/1/2021
REAMS, TIFFANY ANN Prescribing Physician Assistant Physician Assistant 9111472 7/1/2021
RODRIGUEZ, AMANDA LEIGH Prescribing Physician Assistant Physician Assistant 9109256 7/1/2021
ROOP, ALICIN Prescribing Physician Assistant Physician Assistant 9111905 7/1/2021
SALAMANCA, CHRISTOPHER RODRIGUEZ Prescribing Physician Assistant Physician Assistant 9102497 7/1/2021
SKELSON, LAWRENCE MARTIN Prescribing Physician Assistant Physician Assistant 9105314 7/1/2021
SMITH, SUSANNAH MARGARET Prescribing Physician Assistant Physician Assistant 9116400 10/25/2022
THARP, JESSICA L Prescribing Physician Assistant Physician Assistant 9114429 7/1/2021
TRAN, JENNY Prescribing Physician Assistant Physician Assistant 9111932 7/1/2021
URIBE, MEGAN NICOLE Prescribing Physician Assistant Physician Assistant 9109252 7/1/2021
WARNER, HEATHER LYNN Prescribing Physician Assistant Physician Assistant 9112860 5/11/2022

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 6/12/2024



* 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.