License Verification

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MUFADDAL TAHER GHADIALI

License Number: ME94108

Data As Of 7/10/2020

Profession
Medical Doctor
License
ME94108
License Status
CLEAR/ACTIVE
License Expiration Date
1/31/2022
License Original Issue Date
08/18/2005
Address of Record
6405 N. FEDERAL HWY
SUITE 100
FORT LAUDERDALE, FL 33308
UNITED STATES
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

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Name Relationship Profession License Effective Date
CAMPBELL, JOSEPH EDWARD Subordinate Physician Assistant 9104671 3/2/2010
HEINZ, JEANA MARIE Subordinate Physician Assistant 9101635 7/8/2011
MCLOUGHLIN, JOSEPH PATRICK Subordinate Physician Assistant 9102647 8/15/2013
MONTI, RICHARD M Subordinate Physician Assistant 1768 9/1/2005
VIA Y RADA, NESTOR GERARDO Subordinate Physician Assistant 9101346 8/1/2016

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 7/10/2020



* 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.