License Verification

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MIA AESTHETICS CLINIC LLC

License Number: OSR1352

Data As Of 6/24/2025

Profession
Office Surgery Registration
License
OSR1352
License Status
Clear/
Qualifications
Surgery w moderate/conscious to deep sedation
License Expiration Date
License Original Issue Date
11/06/2018
Address of Record
9300 SW 72ND STREET
MIAMI, FL 33173
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALVAREZ, SERGIO ARTURO Agent Medical Doctor 115035 02/17/2020
ALVAREZ, SERGIO ARTURO Managing Employee Medical Doctor 115035 02/17/2020
ALVAREZ, SERGIO ARTURO Officer Medical Doctor 115035 02/17/2020
ALVAREZ, SERGIO ARTURO Owner Medical Doctor 115035 02/17/2020
ALVAREZ, SERGIO ARTURO Physician Medical Doctor 115035 11/06/2018
ALVAREZ, SERGIO ARTURO Principal Medical Doctor 115035 02/17/2020
ANTOINE, STEVE Anesthesia Provider Advanced Practice Registered Nurse 11006057 03/23/2020
BARRIOS PENA, ANGEL Additional Surgical Staff Unlicensed Facility Personnel 01/31/2022
BARZAGA, ANA VERONICA Medical Practitioner Physician Assistant 9112713 01/02/2020
BEAUSOLIEL, HALEY Additional Surgical Staff Unlicensed Facility Personnel 05/09/2023
BRITO MENENDEZ, DIANET Additional Surgical Staff Unlicensed Facility Personnel 05/13/2022
CAMPBELL, LUKE Anesthesia Provider Advanced Practice Registered Nurse 11010732 01/04/2021
CARCASSES, ANGELICA MARIA Recovery Registered Nurse 9527417 07/10/2020
CHAREPOO, RAMBOD Physician Medical Doctor 136906 11/06/2018
CHIRINOS, CAROLINA Additional Surgical Staff Unlicensed Facility Personnel 09/03/2021
CLARK, LIAN-KIM Additional Surgical Staff Advanced Practice Registered Nurse 11013234 06/13/2022
DALTON, ASHLEY Additional Surgical Staff Unlicensed Facility Personnel 03/07/2021
ESCOBAR, KIMBERLY Recovery Registered Nurse 9609911 07/19/2023
FARHAT, ALI Additional Surgical Staff Unlicensed Facility Personnel 09/30/2020
FERNANDEZ, LIDICE Additional Surgical Staff Unlicensed Facility Personnel 07/17/2020
GARCIA-OCASIO, YENYS Additional Surgical Staff Advanced Practice Registered Nurse 11001695 04/06/2021
GARRILLO, ITAMAR Additional Surgical Staff Unlicensed Facility Personnel 02/01/2022
GIORGIS GEBRE, ABEL A Designated Physician Medical Doctor 143253 03/09/2023
GIORGIS GEBRE, ABEL A Physician Medical Doctor 143253 05/04/2020
GONZALEZ VALELLA, MICHEL Additional Surgical Staff Unlicensed Facility Personnel 12/28/2020
GONZALEZ, ALBERTO Anesthesia Provider Advanced Practice Registered Nurse 9360733 07/21/2023
GUEVARA SOCARRAS, YUSIMI Recovery Registered Nurse 9552003 12/29/2020
HENRIQUEZ, ADENIN Recovery Registered Nurse 9558382 05/05/2021
HERNANDEZ, YEILY Recovery Registered Nurse 9603785 09/23/2022
JORGE, ALEXANDER MICHAEL Additional Surgical Staff Advanced Practice Registered Nurse 11001662 06/21/2019
JORGE, CHRISTOPHER Anesthesia Provider Advanced Practice Registered Nurse 9248027 11/06/2018
KOCHER, NICOLE Additional Surgical Staff Unlicensed Facility Personnel 06/21/2021
LARREA, ADRIANA ISABEL Anesthesia Provider Advanced Practice Registered Nurse 11000630 03/23/2020
LOPEZ MERCADO, CLAUDIA Additional Surgical Staff Unlicensed Facility Personnel 07/06/2022
LUNA, ANDREA Additional Surgical Staff Unlicensed Facility Personnel 01/06/2022
MARRERO HERNANDEZ, CHABELY Additional Surgical Staff Unlicensed Facility Personnel 07/19/2023
MARTINEZ OSORIO, RAUL Additional Surgical Staff Unlicensed Facility Personnel 05/24/2022
MEHIO, GHASSAN Physician Medical Doctor 135202 04/19/2019
MILLS, LAUREN BETH Recovery Registered Nurse 9467790 11/06/2018
MINENO, HARKY Additional Surgical Staff Unlicensed Facility Personnel 06/13/2022
MORA, LISDIANA Recovery Registered Nurse 9581588 09/22/2023
MORALES, MARLENE Additional Surgical Staff Unlicensed Facility Personnel 05/26/2020
MORALES, VIVIANA Managing Employee Unlicensed Facility Personnel 02/17/2020
MUNOZ CUEVAS, EDSON MICHEL Anesthesia Provider Advanced Practice Registered Nurse 11016805 07/06/2022
PALUMBO, MARIA Additional Surgical Staff Unlicensed Facility Personnel 02/25/2021
PELEGRIN, ANA Office Manager Unlicensed Facility Personnel 12/01/2022
PENA, EDUARDO Anesthesia Provider Advanced Practice Registered Nurse 9266957 08/04/2020
PEREZ AZCARIZ, JOAN Additional Surgical Staff Unlicensed Facility Personnel 02/15/2021
PROENZA, DANIELA Recovery Registered Nurse 9578769 12/03/2021
REYES, BRENDA Managing Employee Unlicensed Facility Personnel 10/14/2020
RODRIGUEZ LOPEZ, VICTOR Additional Surgical Staff Unlicensed Facility Personnel 01/31/2022
RODRIGUEZ NAVARRO, ARLETH Recovery Registered Nurse 9614917 09/22/2023
RODRIGUEZ, NATALIE Recovery Registered Nurse 9557085 12/17/2021
RYAN, SASHA MARINA Anesthesia Provider Advanced Practice Registered Nurse 9345226 11/06/2018
URDANETA, DIANA Additional Surgical Staff Unlicensed Facility Personnel 02/25/2021
VALERA TORRES, DESYAMBEL Additional Surgical Staff Unlicensed Facility Personnel 02/02/2021
VAZQUEZ ORTEGA, YADIRA MARIA Recovery Registered Nurse 9597308 03/09/2023
VILA, CARIDAD Recovery Registered Nurse 9598927 07/19/2023
WOOLARD, BROOKE ELIZABETH Anesthesia Provider Advanced Practice Registered Nurse 11013992 03/09/2022
WRIGHT, LAUREN MEREDITH Physician Osteopathic Physician 16848 08/06/2020
XU, XIAOTI Physician Medical Doctor 128395 12/15/2020

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/25/2025



* 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.