License Verification

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CARDIOTHORACIC & VASCULAR SURGICAL ASSOC,

License Number: OSR1560

Data As Of 4/24/2025

Profession
Office Surgery Registration
License
OSR1560
License Status
CLEAR/
Qualifications
any surgery w. moderate or conscious sedation
License Expiration Date
License Original Issue Date
01/22/2021
Address of Record
1920 SW 20TH PLACE
SUITE 100
OCALA, FL 34471
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

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

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

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 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.