License Verification

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EDISSON ANDRES GUAMAN MR

License Number: PA9110396

Data As Of 4/19/2024

Profession
Physician Assistant
License
PA9110396
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
05/23/2017
Address of Record
12373 colony preserve Dr
BOYNTON BEACH, FL 33436
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
BUCHALTER, DAVID NEAL Supervising Prescribing Practitioner Medical Doctor 56979 11/17/2017
COLEMAN, BRIAN EDMOND Supervising Prescribing Practitioner Medical Doctor 107966 11/17/2017
MEADOWS, STEVE ELLIOT M D Supervising Prescribing Practitioner Medical Doctor 67441 11/17/2017
TOOLE, WILLIAM PEYTON Supervising Prescribing Practitioner Medical Doctor 131848 11/17/2017
WEISZ, RUSSELL DARREN Supervising Prescribing Practitioner Medical Doctor 82067 11/17/2017

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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 4/19/2024



* 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.