License Verification
MYSTIC COSMETIC CENTER INC,
License Number: OSR1685
Data As Of 6/4/2025
No secondary locations found.

Name | Relationship | Profession | License | Effective Date |
---|---|---|---|---|
ALFONSO, IVON MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 11015765 | 06/04/2024 |
ALONSO, CARMEN | Additional Surgical Staff | Unlicensed Facility Personnel | 07/17/2023 | |
ALVAREZ, FRANCISCO | Anesthesia Provider | Medical Doctor | 46348 | 11/17/2022 |
ARGOTE GUERRERO, DELFIN | Additional Surgical Staff | Unlicensed Facility Personnel | 07/17/2023 | |
BROWN, STEPHANIE MARIA | Anesthesia Provider | Advanced Practice Registered Nurse | 11007016 | 06/14/2023 |
CALDERON GAMBA, ANDRES | Additional Surgical Staff | Unlicensed Facility Personnel | 01/15/2024 | |
CONTRERAS GARCIA, CESAR | Additional Surgical Staff | Unlicensed Facility Personnel | 06/16/2023 | |
DIAZ, IAN | Anesthesia Provider | Advanced Practice Registered Nurse | 11024169 | 01/15/2024 |
FALERO DURAN, LUIS X | Anesthesia Provider | Advanced Practice Registered Nurse | 11012517 | 03/19/2024 |
FORTALEZA, YARIDA | Officer | Unlicensed Facility Personnel | 06/08/2022 | |
FORTALEZA, YARIDA | Owner | Unlicensed Facility Personnel | 06/08/2022 | |
FORTEZA, YARIDA | Recovery | Registered Nurse | 9476368 | 06/15/2023 |
FRIAS SANCHEZ, ULISES | Anesthesia Provider | Advanced Practice Registered Nurse | 11009554 | 08/21/2024 |
GARCIA-OTERO, MARIA DE LOS A | Anesthesia Provider | Advanced Practice Registered Nurse | 2602192 | 06/08/2022 |
GOLDBERG, PAUL MICHAEL | Physician | Medical Doctor | 93957 | 08/23/2024 |
GONZALEZ, ANDREW | Anesthesia Provider | Advanced Practice Registered Nurse | 11023849 | 10/14/2024 |
GONZALEZ, MARIA | Agent | Unlicensed Facility Personnel | 06/08/2022 | |
GONZALEZ, MARIA | Managing Employee | Unlicensed Facility Personnel | 06/08/2022 | |
GONZALEZ, MARIA | Office Manager | Unlicensed Facility Personnel | 06/08/2022 | |
GONZALEZ, MARIA | Officer | Unlicensed Facility Personnel | 06/08/2022 | |
GONZALEZ, MARIA | Owner | Unlicensed Facility Personnel | 06/08/2022 | |
GONZALEZ, RENE | Additional Surgical Staff | Unlicensed Facility Personnel | 06/08/2022 | |
JULIAO, RACHEL | Anesthesia Provider | Advanced Practice Registered Nurse | 11024530 | 12/09/2024 |
LAZARO, MANUEL | Additional Surgical Staff | Unlicensed Facility Personnel | 05/07/2024 | |
LIMAS MUSA, EDUARDO ENRIQUE | Anesthesia Provider | Advanced Practice Registered Nurse | 11024029 | 01/19/2024 |
LORA, FERNANDO MD | Physician | Medical Doctor | 45837 | 03/21/2023 |
MARSHALL, DEIRDRE MARGARET MD | Physician | Medical Doctor | 64150 | 08/08/2024 |
MOLINA CUELLAR, ORESTES | Additional Surgical Staff | Unlicensed Facility Personnel | 06/08/2022 | |
MORALES-SANTOS, JORGE LUIS | Recovery | Registered Nurse | 9287515 | 06/08/2022 |
MOYA CORRALES, YADIRA | Additional Surgical Staff | Unlicensed Facility Personnel | 04/07/2024 | |
MOYA RAIMUNDO, ADRIAN | Anesthesia Provider | Advanced Practice Registered Nurse | 11009512 | 03/20/2023 |
MUNOZ FRANCO, RAUL | Additional Surgical Staff | Unlicensed Facility Personnel | 08/03/2023 | |
MUNOZ SUAREZ, WILSON | Additional Surgical Staff | Unlicensed Facility Personnel | 04/07/2024 | |
NOA GONZALEZ, ARMANDO | Additional Surgical Staff | Unlicensed Facility Personnel | 07/17/2023 | |
PELEGRIN, WENDY | Recovery | Registered Nurse | 9499242 | 08/25/2023 |
PEREZ CASTANEDA, YASSER | Additional Surgical Staff | Unlicensed Facility Personnel | 07/12/2023 | |
RODRIGUEZ MEZA, ANDRES | Additional Surgical Staff | Unlicensed Facility Personnel | 05/28/2024 | |
RODRIGUEZ MILANES, ROBERT | Additional Surgical Staff | Unlicensed Facility Personnel | 08/08/2024 | |
RODRIUEZ MARTINEZ, DANIEL | Additional Surgical Staff | Unlicensed Facility Personnel | 08/08/2024 | |
SANTIAGO VAZQUEZ, DERECK NORBERTO | Anesthesia Provider | Advanced Practice Registered Nurse | 11006883 | 09/29/2023 |
TORRES RUBIO, ANTONIO | Additional Surgical Staff | Unlicensed Facility Personnel | 04/07/2024 | |
TRIANA VILLAMIL, PEDRO | Additional Surgical Staff | Unlicensed Facility Personnel | 06/16/2023 |
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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
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No Continuing Education Hours Received from Approved Providers As Of 6/4/2025
* 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.