License Verification
CARDIOTHORACIC & VASCULAR SURGICAL ASSOC,
License Number: OSR1560
Data As Of 4/24/2025
No secondary locations found.

Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
BATES, NATHAN RAMSEY | Officer | Medical Doctor | 99751 | 01/22/2021 |
BATES, NATHAN RAMSEY | Owner | Medical Doctor | 99751 | 01/22/2021 |
BRUMBERG, ROBERT SCOTT | Officer | Osteopathic Physician | 9800 | 01/22/2021 |
BRUMBERG, ROBERT SCOTT | Owner | Osteopathic Physician | 9800 | 01/22/2021 |
BURCH, TIFFANY | Additional Surgical Staff | Unlicensed Facility Personnel | 03/18/2024 | |
CHANDRA, RAVI MD | Designated Physician | Medical Doctor | 59502 | 01/22/2021 |
CHANDRA, RAVI MD | Physician | Medical Doctor | 59502 | 01/22/2021 |
CHINAPEN, KAMACHIE | Managing Employee | Unlicensed Facility Personnel | 03/17/2025 | |
CLARK, SARA ELIZABETH MD | Officer | Medical Doctor | 119747 | 01/22/2021 |
CLARK, SARA ELIZABETH MD | Owner | Medical Doctor | 119747 | 01/22/2021 |
COGGINS, MICHAEL WAYNE | Additional Surgical Staff | Radiologic Technology | 12594 | 01/22/2021 |
DOOKOO, KHEMILA | Recovery | Registered Nurse | 9669781 | 03/17/2025 |
DUBE, CECILIA I | Anesthesia Provider | Registered Nurse | 3015082 | 09/20/2022 |
DUBE, CECILIA I | Recovery | Registered Nurse | 3015082 | 09/20/2022 |
GANDY, RETTA K | Recovery | Registered Nurse | 9352511 | 01/22/2021 |
HURST, PATRICIA DURYEA MRS | Recovery | Advanced Practice Registered Nurse | 3390752 | 01/22/2021 |
KAELIN, LAWRENCE D | Officer | Medical Doctor | 49211 | 01/22/2021 |
KAELIN, LAWRENCE D | Owner | Medical Doctor | 49211 | 01/22/2021 |
LEE, RAYMOND MD | Officer | Medical Doctor | 74892 | 01/22/2021 |
LEE, RAYMOND MD | Owner | Medical Doctor | 74892 | 01/22/2021 |
LINDSAY, BOBBIE RENEE | Additional Surgical Staff | Physician Assistant | 9114813 | 03/17/2025 |
MOORE, ERIN MARC MD | Officer | Medical Doctor | 101863 | 01/22/2021 |
MOORE, ERIN MARC MD | Owner | Medical Doctor | 101863 | 01/22/2021 |
MOSTOVYCH, MARK ALEXANDER | Officer | Medical Doctor | 70190 | 01/22/2021 |
MOSTOVYCH, MARK ALEXANDER | Owner | Medical Doctor | 70190 | 01/22/2021 |
MUEHRCKE, DEREK DAVID MD | Officer | Medical Doctor | 70163 | 01/22/2021 |
MUEHRCKE, DEREK DAVID MD | Owner | Medical Doctor | 70163 | 01/22/2021 |
MUELLER, DALE | Officer | Medical Doctor | 133993 | 01/22/2021 |
MUELLER, DALE | Owner | Medical Doctor | 133993 | 01/22/2021 |
ORLOVA, KSENIA | Physician | Medical Doctor | 160459 | 05/08/2023 |
PARENT, DAVID FRANCIS | Recovery | Registered Nurse | 3418662 | 09/13/2022 |
STILL, ROBERT JAY MD | Officer | Medical Doctor | 59783 | 01/22/2021 |
STILL, ROBERT JAY MD | Owner | Medical Doctor | 59783 | 01/22/2021 |
VAUTOUR, THOMAS | Additional Surgical Staff | Unlicensed Facility Personnel | 09/15/2022 | |
VO, DANNY HUU MD | Officer | Medical Doctor | 105114 | 01/22/2021 |
VO, DANNY HUU MD | Owner | Medical Doctor | 105114 | 01/22/2021 |
WATTS, ERICA | Office Manager | Unlicensed Facility Personnel | 03/17/2025 |
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Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
Name | Relationship | Profession | License | Effective Date |
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Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 4/25/2025
* 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.