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305 PLASTIC SURGERY DORAL 3, LLC

License Number: OSR1850

Data As Of 7/8/2025

Profession
Office Surgery Registration
License
OSR1850
License Status
Clear/
Qualifications
Surgery w moderate/conscious to deep sedation
License Expiration Date
License Original Issue Date
03/13/2024
Address of Record
10305 NW 58 STREET
3RD FLOOR
DORAL, FL 33178
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALAMO, DANIELLE Additional Surgical Staff Unlicensed Facility Personnel 05/07/2025
ALFONSO, IVON MARIA Anesthesia Provider Advanced Practice Registered Nurse 11015765 10/06/2024
AMIN, ATUL K MD Physician Medical Doctor 123736 07/24/2024
BESSA, BARBARA Anesthesia Provider Advanced Practice Registered Nurse 9310472 08/02/2024
BREWSTER, EARL MARK JR Designated Physician Medical Doctor 126781 01/01/2025
BREWSTER, EARL MARK JR Physician Medical Doctor 126781 04/04/2024
COLEBROOK, REYNALDO Additional Surgical Staff Unlicensed Facility Personnel 04/04/2024
CORNISH, ALEXANDRA MARIA MS Anesthesia Provider Advanced Practice Registered Nurse 9243777 03/05/2025
DE VALLE SANCHEZ, MARIA Additional Surgical Staff Unlicensed Facility Personnel 01/27/2025
DE YURRE, VICTOR Agent Unlicensed Facility Personnel 03/13/2024
DEL RISCO, JESUS LAZARO Anesthesia Provider Advanced Practice Registered Nurse 2512552 05/09/2025
DELGADO ZAMORA, NOEL Additional Surgical Staff Registered Nurse 9673768 01/27/2025
DIETSCH, GABRIEL Anesthesia Provider Advanced Practice Registered Nurse 9248348 12/13/2024
DOMINGO, CYNTHIA DUMAPIT Anesthesia Provider Advanced Practice Registered Nurse 9272028 06/18/2024
DOMINGUEZ TRUJILLO, LESLYE Additional Surgical Staff Unlicensed Facility Personnel 05/07/2025
FRIAS SANCHEZ, ULISES Anesthesia Provider Advanced Practice Registered Nurse 11009554 06/04/2025
GIBSON, JENNIFER Anesthesia Provider Advanced Practice Registered Nurse 11032768 06/25/2025
GONZALES, DANIEL Officer Unlicensed Facility Personnel 03/13/2024
GONZALES, DANIEL Owner Unlicensed Facility Personnel 03/13/2024
HARRAR, MIRIAM Anesthesia Provider Advanced Practice Registered Nurse 11013316 07/22/2024
HERNANDEZ, MARIA Managing Employee Unlicensed Facility Personnel 03/13/2024
HERNANDEZ, MARIA Office Manager Unlicensed Facility Personnel 03/13/2024
INFANTE VALERA, MIGUEL Additional Surgical Staff Unlicensed Facility Personnel 12/13/2024
JIMENEZ GARCIA, YUSLEIDY Additional Surgical Staff Unlicensed Facility Personnel 06/04/2025
LARA, REYNIER Officer Unlicensed Facility Personnel 03/13/2024
LARA, REYNIER Owner Unlicensed Facility Personnel 03/13/2024
LEHMAN, KYLE Anesthesia Provider Advanced Practice Registered Nurse 11002549 06/04/2025
LEON, MIGUEL ANGEL Anesthesia Provider Advanced Practice Registered Nurse 9176554 02/21/2025
MATA RODRIGUEZ, EUDOMAR Additional Surgical Staff Unlicensed Facility Personnel 05/01/2024
MESA BATISTA, AMNIEL MR Anesthesia Provider Advanced Practice Registered Nurse 9329514 04/23/2024
MIRANDA MILIAN, YANNE Additional Surgical Staff Unlicensed Facility Personnel 02/20/2025
MORALES, FERMIN ESTEBAN Physician Medical Doctor 110395 08/29/2024
NASSER, RODAINAH Additional Surgical Staff Unlicensed Facility Personnel 02/20/2025
NUNEZ GUTIERREZ, ADRIANA Additional Surgical Staff Unlicensed Facility Personnel 04/04/2024
OKHAH, ZACHARY IYORE Physician Medical Doctor 139544 03/20/2025
OLIVA, MARCOS RAFAEL Anesthesia Provider Advanced Practice Registered Nurse 9426020 06/26/2025
PEREZ BARROSO, AHMED Additional Surgical Staff Unlicensed Facility Personnel 06/04/2025
PEREZ HERNANDEZ, YAIRIA Recovery Registered Nurse 9660173 06/26/2025
PEREZ-VELEZ, WILFRED JUNIOR Anesthesia Provider Advanced Practice Registered Nurse 9469917 08/02/2024
PON RODRIGUEZ, LUCIYET Additional Surgical Staff Unlicensed Facility Personnel 05/09/2025
PONS RODRIGUEZ, DAVID Additional Surgical Staff Unlicensed Facility Personnel 01/27/2025
RAMIREZ, MARIA Additional Surgical Staff Unlicensed Facility Personnel 04/04/2024
RIVAS, GABRY ANTONIO Anesthesia Provider Advanced Practice Registered Nurse 11000769 12/13/2024
RODRIGUEZ, DIEGO F Anesthesia Provider Advanced Practice Registered Nurse 9320955 06/26/2025
SANCHEZ RODRIGUEZ, CARLOS ADRIAN Recovery Registered Nurse 9649203 08/02/2024
SERPA RODRIGUEZ, ISEL Additional Surgical Staff Unlicensed Facility Personnel 01/01/2025
SINGH, YEANNIE MRS Anesthesia Provider Advanced Practice Registered Nurse 9325223 04/04/2024
TAPANES, MARLENE Anesthesia Provider Advanced Practice Registered Nurse 9310289 06/04/2025
TAPANES, YOEL Anesthesia Provider Advanced Practice Registered Nurse 9347893 12/13/2024
TRASTOY, LESTER Additional Surgical Staff Unlicensed Facility Personnel 03/13/2024
URUETA, ESTHER CECILIA Anesthesia Provider Advanced Practice Registered Nurse 9229852 03/03/2025
VEGA, PAUL MICHAEL Anesthesia Provider Advanced Practice Registered Nurse 11000770 05/09/2025

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/9/2025



* 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.