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SHAYAN BENGALI

License Number: ME136794

Data As Of 11/23/2024

Profession
Medical Doctor
License
ME136794
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
06/06/2018
Address of Record
3749 riverside ave
JACKSONVILLE, FL 32205
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
ANDERSON, ANDREW ROBERT AA Anesthesiologist Assistants 428 12/20/2023
ANDERSON, ANDREW ROBERT Subordinate Anesthesiologist Assistants 428 10/23/2024
ARDELEAN, AVRAAM ANDREI AA Anesthesiologist Assistants 854 2/19/2024
BESS, KEVIN ANDREW Subordinate Anesthesiologist Assistants 516 3/11/2024
BLANK, CHRISTINE O'REILLY AA Anesthesiologist Assistants 520 1/1/2019
BLANK, CHRISTINE O'REILLY Subordinate Anesthesiologist Assistants 520 5/2/2024
BLANKENSHIP, BROCK DANIEL AA Anesthesiologist Assistants 395 1/1/2019
CARDWELL, JAMISON HOWARD AA Anesthesiologist Assistants 475 2/16/2024
CARDWELL, JAMISON HOWARD Subordinate Anesthesiologist Assistants 475 5/2/2024
DIEHL, DAVID RYAN AA Anesthesiologist Assistants 343 1/1/2019
DURHAM, IAN MICHAEL Subordinate Anesthesiologist Assistants 493 5/2/2024
GILLIKIN, JACOB MARSHALL AA Medical Doctor 128123 2/19/2024
KLEIN, CHRISTOPHER Subordinate Anesthesiologist Assistants 909 3/27/2024
LATHAM, RYAN NICHOLAS Subordinate Anesthesiologist Assistants 307 3/11/2024
MCWILLIAMS, BRIAN JASON AA Anesthesiologist Assistants 37 2/19/2024
MCWILLIAMS, BRIAN JASON Subordinate Anesthesiologist Assistants 37 1/1/2019
ORTIZ, MARCUS LUIS Subordinate Anesthesiologist Assistants 410 1/1/2019
PATTERSON, SARAH LOUISE AA Medical Doctor 70783 2/19/2024
POTTS, VICTORIA Subordinate Anesthesiologist Assistants 616 5/1/2024
REYES, CAMELLIA MAYRA Subordinate Anesthesiologist Assistants 439 5/1/2024
RIVERO, ZEYLA AA Anesthesiologist Assistants 302 2/20/2024
RIVERO, ZEYLA Subordinate Anesthesiologist Assistants 302 10/8/2024
SCULLY, SOPHIA AA Anesthesiologist Assistants 658 2/11/2024
SCULLY, SOPHIA Subordinate Anesthesiologist Assistants 658 10/8/2024
SHAH, DIPAM JASHWANT AA Anesthesiologist Assistants 437 2/19/2024
STARKWEATHER, ASHLEY BARKER Subordinate Anesthesiologist Assistants 521 5/6/2024
TALLEY, JOHN DAVID AA Anesthesiologist Assistants 355 1/1/2019
VORST, TIMOTHY LAVERN AA Anesthesiologist Assistants 204 2/20/2024
VORST, TIMOTHY LAVERN Subordinate Anesthesiologist Assistants 204 10/10/2024
WOODS, NICHOLAS JAMES Subordinate Anesthesiologist Assistants 882 5/1/2024
ZHANG, WEIRONG Subordinate Anesthesiologist Assistants 167 5/22/2024

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 11/23/2024



* 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.