License Verification

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IDAYLIS MORONO-PONCE

License Number: ME102072

Data As Of 5/15/2024

Profession
Medical Doctor
License
ME102072
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2008
Address of Record
PREMIER VALUE FAMILY MEDICINE
8352 BIRD ROAD
MIAMI, FL 33155
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

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Name Relationship Profession License Effective Date
ALVAREZ-JACINTO, MANUEL Dispensing Physician Assistant Physician Assistant 9109866 1/10/2017
ALVAREZ-JACINTO, MANUEL Prescribing Physician Assistant Physician Assistant 9109866 1/10/2016
MEMON, ABDUL SAMAD Dispensing Physician Assistant Physician Assistant 9105666 4/1/2016
MEMON, ABDUL SAMAD Prescribing Physician Assistant Physician Assistant 9105666 5/10/2016
SOUCY, BRIGITTE Dispensing Physician Assistant Physician Assistant 9107377 11/8/2016
SOUCY, BRIGITTE Prescribing Physician Assistant Physician Assistant 9107377 11/8/2016
SUKHWANI, ARTI V Dispensing Physician Assistant Physician Assistant 9100958 4/1/2016
SUKHWANI, ARTI V Prescribing Physician Assistant Physician Assistant 9100958 5/2/2016

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 5/15/2024



* 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.