License Verification

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FREDERICK BRIAN BRAUTIGAN

License Number: ME117546

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME117546
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/11/2013
Address of Record
19985 S. Tamiami Trail
Medexpress Urgent care
ESTERO, FL 33928
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
12375 S. CLEVELAND AVENUE MED EXPRESS URGENT CARE
FORT MYERS, FL 33907
Address
13005 COLLIER BLVD. MED EXPRESS URGENT CARE
NAPLES, FL 34116
Name Relationship Profession License Effective Date
MENDOZA, ALDRICH VILLAMIN Supervisor Medical Doctor 142221 01/07/2021

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Name Relationship Profession License Effective Date
BOUAZIZ, S RAFIK Prescribing Physician Assistant Medical Doctor 91323 8/16/2024
BRIGHT, EMILY Dispensing Physician Assistant Physician Assistant 9114801 10/22/2021
BRIGHT, EMILY Prescribing Physician Assistant Physician Assistant 9114801 10/22/2021
DAVIS, RANDAL LEE Subordinate Medical Doctor 110579 2/21/2020
LATTA, KELLY REBECCA Prescribing Physician Assistant Physician Assistant 9112214 2/8/2022
NEZOWITZ, GREGG DAVID Subordinate Medical Doctor 75671 6/16/2021
PLEASANTS, TOM ADAIR Subordinate Osteopathic Physician 5751 10/15/2020
WHITE, MICHAEL BLAKE Prescribing Physician Assistant Medical Doctor 40427 1/10/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* 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.