License Verification

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JIREH COSMETIC CENTER CORP MIAMI LAKES COSMETIC SURGERY

License Number: OSR904

Data As Of 8/4/2025

Profession
Office Surgery Registration
License
OSR904
License Status
Clear/
Qualifications
Surgery w moderate/conscious to deep sedation
License Expiration Date
License Original Issue Date
02/28/2013
Address of Record
15450 New Barn Road, Suite 106
MIAMI LAKES, FL 33014
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ACEVO, ADRIANA ALEJANDRA Recovery Registered Nurse 9650764 11/15/2024
CASTA, ANNIE LYN Designated Physician Medical Doctor 117614 05/11/2023
CASTA, ANNIE LYN Physician Medical Doctor 117614 05/11/2023
DE LA TORRIENTE, AMALOHA Additional Surgical Staff Unlicensed Facility Personnel 08/21/2023
FERNANDEZ VINA, IVONNE E Recovery Registered Nurse 9517782 03/19/2025
FERNANDEZ, JAMNELIS Managing Employee Unlicensed Facility Personnel 03/03/2020
FERNANDEZ, JAMNELIS Office Manager Unlicensed Facility Personnel 03/03/2020
FERNANDEZ, VIOLETA Agent Unlicensed Facility Personnel 03/03/2020
FERNANDEZ, VIOLETA Officer Unlicensed Facility Personnel 03/03/2020
FERNANDEZ, VIOLETA Owner Unlicensed Facility Personnel 03/03/2020
FERNANDEZ-LOPEZ, JANNELIS Additional Surgical Staff Unlicensed Facility Personnel 07/28/2022
GARCIA VALENCIA, SHARON M Anesthesia Provider Advanced Practice Registered Nurse 9497622 03/10/2022
LOPEZ COSME, MILAN Additional Surgical Staff Unlicensed Facility Personnel 02/08/2024
PADRON, ISMARK Additional Surgical Staff Unlicensed Facility Personnel 01/06/2022
TORRES, ERNESTO VLADIMIR Physician Medical Doctor 114101 11/04/2021
VERENZUELA, ALBERTO Additional Surgical Staff Unlicensed Facility Personnel 08/21/2023

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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 8/4/2025



* 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.