License Verification

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MIAMI LIFE PLASTIC SURGERY, CORP.

MIAMI LIFE COSMETIC CENTER

License Number: OSR1562

Data As Of 10/22/2026

Profession
Office Surgery Registration
License
OSR1562
License Status
Clear/
Qualifications
Surgery w moderate/conscious to deep sedation
License Expiration Date
License Original Issue Date
02/05/2021
Address of Record
8686 CORAL WAY
MIAMI, FL 33155
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALFONSO BLANDY, MABELYS Recovery Registered Nurse 9658470 04/10/2026
ALFONSO, IVON MARIA Anesthesia Provider Advanced Practice Registered Nurse 11015765 10/16/2023
ALLY, CHRISTOPHER AFDAL Anesthesia Provider Advanced Practice Registered Nurse 9284176 09/20/2023
ANTOINE, STEVE Anesthesia Provider Advanced Practice Registered Nurse 11006057 03/12/2025
BROWN, STEPHANIE MARIA Anesthesia Provider Advanced Practice Registered Nurse 11007016 05/29/2026
CARRENO, GABRIEL Additional Surgical Staff Unlicensed Facility Personnel 02/05/2021
CHACON MILLAN, NAIBE Additional Surgical Staff Unlicensed Facility Personnel 04/10/2026
CHAVEZ, CAMILLE DENISE Physician Medical Doctor 68329 03/30/2021
CORNISH, ALEXANDRA MARIA Anesthesia Provider Advanced Practice Registered Nurse 9243777 12/05/2023
CULLEMARK, BIANCA CRISTINA Anesthesia Provider Advanced Practice Registered Nurse 9307019 10/14/2026
DEL RISCO, JESUS LAZARO Anesthesia Provider Advanced Practice Registered Nurse 2512552 04/16/2021
DIETSCH, GABRIEL Anesthesia Provider Advanced Practice Registered Nurse 9248348 11/21/2023
DOMINGO, CYNTHIA DUMAPIT Anesthesia Provider Advanced Practice Registered Nurse 9272028 08/24/2026
DORTA VALLADARES, YAIMA Additional Surgical Staff Unlicensed Facility Personnel 04/04/2024
ESCOBAR, DANIEL BENJAMIN Anesthesia Provider Advanced Practice Registered Nurse 11005621 06/28/2024
ESQUERRA, NAYURIS Additional Surgical Staff Unlicensed Facility Personnel 04/02/2021
FREITAS, CARLOS JESUS Anesthesia Provider Advanced Practice Registered Nurse 9279188 01/10/2023
FREITAS, RAQUEL Anesthesia Provider Advanced Practice Registered Nurse 9279189 07/24/2023
FRIAS SANCHEZ, ULISES Anesthesia Provider Advanced Practice Registered Nurse 11009554 01/03/2024
FUERTES RODRIGUEZ, JORGE Agent Unlicensed Facility Personnel 02/05/2021
FUERTES RODRIGUEZ, JORGE Officer Unlicensed Facility Personnel 02/05/2021
FUERTES RODRIGUEZ, JORGE Owner Unlicensed Facility Personnel 02/05/2021
GODAT, DAVID MICHAEL Physician Medical Doctor 167167 06/11/2025
GOMEZ RUIZ, SARY Additional Surgical Staff Unlicensed Facility Personnel 07/05/2025
GUEVARA, ISABEL Additional Surgical Staff Unlicensed Facility Personnel 02/05/2021
HERNANDEZ, GRETTEL Anesthesia Provider Advanced Practice Registered Nurse 11005565 01/10/2026
IANNUZZI, LISA ROSE Anesthesia Provider Advanced Practice Registered Nurse 9323177 04/02/2021
KAGAN, ROBERT SCOTT Physician Medical Doctor 98957 05/25/2023
KAUFMAN, DANIEL Physician Medical Doctor 151561 09/21/2021
KING, JAMES MICHAEL Anesthesia Provider Advanced Practice Registered Nurse 9357043 08/15/2024
KITSOS, CONSTANTINE N Physician Medical Doctor 11729 05/12/2021
LEHMAN, KYLE Anesthesia Provider Advanced Practice Registered Nurse 11002549 06/05/2024
LUGO TORRES, JENNIFER Anesthesia Provider Advanced Practice Registered Nurse 11006165 08/03/2026
MCADOO, JAMES SCOTT Physician Osteopathic Physician 11955 06/14/2022
MELIZ CRUZ, OMAR Anesthesia Provider Advanced Practice Registered Nurse 11018589 04/05/2022
MENDIZABAL, MANUEL RAMON S Designated Physician Medical Doctor 33414 02/04/2025
MENDIZABAL, MANUEL RAMON S Physician Medical Doctor 33414 02/04/2025
MILLER, MICHAEL LEE Physician Medical Doctor 98427 09/12/2022
MORALES TIRADO, ROXANA Additional Surgical Staff Unlicensed Facility Personnel 04/17/2026
NWOKOCHA, ONYEKA Physician Medical Doctor 136750 08/08/2023
ONZAGA CEPEDA, INGRID LORENA Recovery Advanced Practice Registered Nurse 11017627 08/14/2025
OROZCO, LUCIA M Recovery Registered Nurse 9339939 02/02/2023
ORTIZ, EVELYN Anesthesia Provider Advanced Practice Registered Nurse 9258699 08/04/2026
PADILLA VAZQUEZ, GRETHER Anesthesia Provider Advanced Practice Registered Nurse 11018193 04/15/2026
PARRADO, SINDY Anesthesia Provider Advanced Practice Registered Nurse 11037213 03/06/2025
PARRELLA, MAURICIO Additional Surgical Staff Unlicensed Facility Personnel 09/21/2022
PASTORA, BEVERLY Anesthesia Provider Advanced Practice Registered Nurse 9234018 01/18/2023
PENA MUNIZ, ENIRELKA Additional Surgical Staff Unlicensed Facility Personnel 04/15/2026
PEREZ, KENIA Additional Surgical Staff Unlicensed Facility Personnel 07/08/2026
REINA MIRANDA, JULIA Additional Surgical Staff Unlicensed Facility Personnel 02/28/2022
RIVAS, GABRY ANTONIO Anesthesia Provider Advanced Practice Registered Nurse 11000769 11/12/2021
ROMAGOZA, JOSE Additional Surgical Staff Unlicensed Facility Personnel 12/09/2021
ROMAN, DAYMARI Anesthesia Provider Advanced Practice Registered Nurse 11021371 06/28/2024
ROSS, JENNIFER PAIGE Anesthesia Provider Advanced Practice Registered Nurse 3143762 06/11/2025
SAEZ CASTANEDA, DARWIN Additional Surgical Staff Unlicensed Facility Personnel 04/17/2026
SINGH, UMAISH SHARMA Anesthesia Provider Advanced Practice Registered Nurse 9329310 10/06/2026
SOUEID, NASSIF ELIAS Physician Medical Doctor 144499 02/05/2021
TAMAYO MARTINEZ, GRETHER Additional Surgical Staff Unlicensed Facility Personnel 04/23/2026
TEJEDOR, TANIA Managing Employee Unlicensed Facility Personnel 02/05/2021
TEJEDOR, TANIA Office Manager Unlicensed Facility Personnel 02/05/2021
VEGA, PAUL MICHAEL Anesthesia Provider Advanced Practice Registered Nurse 11000770 10/16/2026
VERA, CHRISTINA MARIA Anesthesia Provider Advanced Practice Registered Nurse 9235599 11/18/2025
VERA, JASON ERIC Anesthesia Provider Advanced Practice Registered Nurse 9265255 10/19/2021
YERA, GLADYS Additional Surgical Staff Unlicensed Facility Personnel 04/08/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 10/22/2026



* 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.