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License Verification

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PAULINA DOMINGUEZ

License Number: PA9106727

Data As Of 5/28/2024

Profession
Physician Assistant
License
PA9106727
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/14/2012
Address of Record
975 Baptist Way
HOMESTEAD, FL 33033
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
AGOSTINI-MIRANDA, ALEX A Supervising Prescribing Practitioner Medical Doctor 95555 02/11/2020
BORRERO-MENDOZA, ANDRES ELIAS MD Supervising Prescribing Practitioner Medical Doctor 140971 02/11/2020
BRONIAK, FREDERICK Supervising Prescribing Practitioner Osteopathic Physician 4948 02/11/2020
DIAZ, MIGUEL ANGEL Supervising Prescribing Practitioner Medical Doctor 120016 02/11/2020
DUNAVANT, SCOTT L MD Supervising Prescribing Practitioner Medical Doctor 109424 02/11/2020
GONZALEZ CARRILLO, ROYNEL Supervising Prescribing Practitioner Medical Doctor 108237 02/11/2020
MILLER, WENDI S Supervising Prescribing Practitioner Medical Doctor 110810 02/11/2020
MODICA, JOHN WILLIAM GREY Supervising Prescribing Practitioner Medical Doctor 142161 02/11/2020
NGUYEN, LINDA MAC Supervising Prescribing Practitioner Medical Doctor 112192 02/11/2020
NWOSU, HILARY C Supervising Prescribing Practitioner Medical Doctor 114167 02/11/2020
OLIVA, JOSEPH WAYNE Supervising Prescribing Practitioner Osteopathic Physician 10074 02/11/2020
RISCH, ROBERT Supervising Prescribing Practitioner Medical Doctor 152326 02/16/2022
SIVARAJ, THAMOTHARAMPILLA Supervising Prescribing Practitioner Medical Doctor 137260 02/11/2020
SORONDO, JEAN-PAUL OTAZO Supervising Prescribing Practitioner Medical Doctor 109985 02/11/2020
TRANCE, GARRETT Supervising Prescribing Practitioner Osteopathic Physician 9546 02/11/2020
WILSON, LATRESIA ANN Supervising Prescribing Practitioner Medical Doctor 87826 02/11/2020
YAVARI, MEHDY Supervising Dispensing Practitioner Osteopathic Physician 11235 05/17/2021
YAVARI, MEHDY Supervising Prescribing Practitioner Osteopathic Physician 11235 02/11/2020

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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 5/28/2024



* 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.