License Verification
5040 MD MANAGEMENT CORP
Vixen Plastic Surgery
License Number: OSR1567
Data As Of 5/17/2025
No secondary locations found.

Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
AGUELLES, GILVER | Additional Surgical Staff | Unlicensed Facility Personnel | 04/09/2025 | |
ALFONSO, IVON MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 11015765 | 03/13/2024 |
ALLY, CHRISTOPHER AFDAL | Anesthesia Provider | Advanced Practice Registered Nurse | 9284176 | 07/12/2021 |
ATAURY- BARBERO, JOSE CARLOS | Anesthesia Provider | Advanced Practice Registered Nurse | 11015287 | 08/19/2022 |
AVALOS, YEESY | Additional Surgical Staff | Unlicensed Facility Personnel | 07/13/2022 | |
AVILA ORTEGA, MIGUEL EUSTASIO | Additional Surgical Staff | Advanced Practice Registered Nurse | 11012150 | 03/29/2021 |
BROWN, STEPHANIE MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 11007016 | 10/10/2023 |
CAMPOS, GLEIDA | Additional Surgical Staff | Unlicensed Facility Personnel | 01/13/2025 | |
CANALES ACOSTA, FLOR ELISA | Recovery | Registered Nurse | 9643425 | 10/27/2023 |
CANNON, CLIFTON LAMAR III | Physician | Medical Doctor | 146078 | 03/16/2021 |
CORNISH, ALEXANDRA MARIA MS | Anesthesia Provider | Advanced Practice Registered Nurse | 9243777 | 08/18/2021 |
CORREA GOMEZ, MELISSA | Additional Surgical Staff | Unlicensed Facility Personnel | 01/28/2024 | |
CORREA MEDINA, MIGUEL | Additional Surgical Staff | Unlicensed Facility Personnel | 01/28/2024 | |
DEAN, VIVIANE A | Anesthesia Provider | Advanced Practice Registered Nurse | 9279190 | 10/28/2024 |
DEL RISCO, JESUS LAZARO | Anesthesia Provider | Advanced Practice Registered Nurse | 2512552 | 11/21/2023 |
DIAZ, IAN | Anesthesia Provider | Advanced Practice Registered Nurse | 11024169 | 01/13/2025 |
DIEGUEZ, LOURDES | Anesthesia Provider | Advanced Practice Registered Nurse | 3117612 | 05/22/2024 |
DIETSCH, GABRIEL | Anesthesia Provider | Advanced Practice Registered Nurse | 9248348 | 08/04/2022 |
DOMINGO, CYNTHIA DUMAPIT | Anesthesia Provider | Advanced Practice Registered Nurse | 9272028 | 09/11/2023 |
ESCOBAR, DANIEL BENJAMIN | Anesthesia Provider | Advanced Practice Registered Nurse | 11005621 | 09/23/2024 |
FALERO DURAN, LUIS X | Anesthesia Provider | Advanced Practice Registered Nurse | 11012517 | 10/10/2023 |
FRIAS SANCHEZ, ULISES | Anesthesia Provider | Advanced Practice Registered Nurse | 11009554 | 06/20/2022 |
FUENTES, MERCEDES CRISTINA | Recovery | Registered Nurse | 9485039 | 05/21/2021 |
FUSTER BLANCO, LORENA | Additional Surgical Staff | Certified Nursing Assistant | 431445 | 03/17/2025 |
GARCIA, YOENDI | Office Manager | Unlicensed Facility Personnel | 10/09/2023 | |
GONZALEZ, DANIEL | Officer | Unlicensed Facility Personnel | 03/05/2021 | |
GONZALEZ, JOSE | Additional Surgical Staff | Unlicensed Facility Personnel | 07/13/2022 | |
HERNANDEZ, GRETTEL | Anesthesia Provider | Advanced Practice Registered Nurse | 11005565 | 01/28/2024 |
LARA, REYNIER | Agent | Unlicensed Facility Personnel | 03/05/2021 | |
LARA, REYNIER | Officer | Unlicensed Facility Personnel | 03/05/2021 | |
LARA, REYNIER | Owner | Unlicensed Facility Personnel | 03/05/2021 | |
LASTRE, PABLO | Additional Surgical Staff | Unlicensed Facility Personnel | 05/21/2021 | |
LEON, MIGUEL ANGEL | Anesthesia Provider | Advanced Practice Registered Nurse | 9176554 | 10/28/2024 |
MESA BATISTA, AMNIEL MR | Anesthesia Provider | Advanced Practice Registered Nurse | 9329514 | 10/12/2023 |
MUNOZ, DANNY RENE | Anesthesia Provider | Advanced Practice Registered Nurse | 9311468 | 11/01/2021 |
OLIVA, MARCOS RAFAEL | Anesthesia Provider | Advanced Practice Registered Nurse | 9426020 | 09/11/2023 |
ORTIZ, EVELYN | Anesthesia Provider | Advanced Practice Registered Nurse | 9258699 | 11/14/2024 |
ORTIZ, YUMARA | Additional Surgical Staff | Unlicensed Facility Personnel | 07/28/2021 | |
PEREZ, MARIBEL | Additional Surgical Staff | Unlicensed Facility Personnel | 04/09/2025 | |
PEREZ, ROXANA | Additional Surgical Staff | Unlicensed Facility Personnel | 03/15/2021 | |
PEREZ-VELEZ, WILFRED JUNIOR | Anesthesia Provider | Advanced Practice Registered Nurse | 9469917 | 12/02/2021 |
RIVAS, GABRY ANTONIO | Anesthesia Provider | Advanced Practice Registered Nurse | 11000769 | 08/22/2023 |
RIVERA, KATHERINE JANIS | Anesthesia Provider | Advanced Practice Registered Nurse | 9473322 | 10/10/2023 |
RODRIGUEZ, ADA | Additional Surgical Staff | Unlicensed Facility Personnel | 04/09/2025 | |
RODRIGUEZ, LUIS | Additional Surgical Staff | Unlicensed Facility Personnel | 07/13/2022 | |
SANCHEZ-WILSON, CAROLINA CONCEPCION | Anesthesia Provider | Advanced Practice Registered Nurse | 9231795 | 02/17/2023 |
SANDOVAL VAXQUEZ, MARIA | Additional Surgical Staff | Unlicensed Facility Personnel | 01/13/2025 | |
SINGH, UMAISH SHARMA MR | Anesthesia Provider | Advanced Practice Registered Nurse | 9329310 | 10/10/2023 |
SINGH, YEANNIE MRS | Anesthesia Provider | Advanced Practice Registered Nurse | 9325223 | 01/28/2024 |
TRIGGS, WILTON LEE | Designated Physician | Medical Doctor | 151813 | 07/06/2023 |
TRIGGS, WILTON LEE | Physician | Medical Doctor | 151813 | 01/27/2022 |
VALLADARES, ERIC RAUL MD | Physician | Medical Doctor | 91049 | 07/19/2023 |
VEGA, PAUL MICHAEL | Anesthesia Provider | Advanced Practice Registered Nurse | 11000770 | 08/19/2022 |
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
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 5/17/2025
* 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.