License Verification

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305 PLASTIC SURGERY DORAL 4, LLC

License Number: OSR1851

Data As Of 4/29/2025

Profession
Office Surgery Registration
License
OSR1851
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
4TH FLOOR
DORAL, FL 33178
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALFONSO, IVON MARIA Anesthesia Provider Advanced Practice Registered Nurse 11015765 10/06/2024
BENITEZ, YUSIMY Additional Surgical Staff Unlicensed Facility Personnel 09/19/2024
BESSA, BARBARA Anesthesia Provider Advanced Practice Registered Nurse 9310472 10/06/2024
CORNISH, ALEXANDRA MARIA MS Anesthesia Provider Advanced Practice Registered Nurse 9243777 02/26/2025
DARMAS, MICHAEL EMILE JR Anesthesia Provider Advanced Practice Registered Nurse 11010859 04/09/2025
DEL RISCO, JESUS LAZARO Anesthesia Provider Advanced Practice Registered Nurse 2512552 03/13/2024
DELGADO ZAMORA, NOEL Recovery Registered Nurse 9673768 02/24/2025
DIGERONIMO, ERNEST MICHAEL MD Physician Medical Doctor 37616 06/18/2024
DIGERONIMO, GIANNI Additional Surgical Staff Unlicensed Facility Personnel 07/26/2024
EL ALAM HERNANDEZ, SALOMON Additional Surgical Staff Unlicensed Facility Personnel 10/01/2024
ESCOBAR, DANIEL BENJAMIN Anesthesia Provider Advanced Practice Registered Nurse 11005621 04/03/2025
FRIAS SANCHEZ, ULISES Anesthesia Provider Advanced Practice Registered Nurse 11009554 10/01/2024
FUNDORA BARRETO, CLAUDIA Recovery Registered Nurse 9549050 06/18/2024
GARCIA, YUSLEIDY Additional Surgical Staff Unlicensed Facility Personnel 10/01/2024
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 07/08/2024
HERNANDEZ, GRETTEL Anesthesia Provider Advanced Practice Registered Nurse 11005565 03/13/2025
HURTADO FIGUERA, JUAN Additional Surgical Staff Unlicensed Facility Personnel 10/06/2024
KASNAKOV, VLADIMIR Additional Surgical Staff Unlicensed Facility Personnel 08/12/2024
LARA, REYNIER Officer Unlicensed Facility Personnel 03/13/2024
LARA, REYNIER Owner Unlicensed Facility Personnel 03/13/2024
LAZO RABAGO, MARIA Additional Surgical Staff Unlicensed Facility Personnel 04/18/2025
LEHMAN, KYLE Anesthesia Provider Advanced Practice Registered Nurse 11002549 03/13/2025
MARTINEZ GONZALES, DENISSE Additional Surgical Staff Unlicensed Facility Personnel 11/15/2024
MAYOR, ELAINE Office Manager Unlicensed Facility Personnel 09/16/2024
MESA BATISTA, AMNIEL MR Anesthesia Provider Advanced Practice Registered Nurse 9329514 09/19/2024
MORALES ROMERO, JENNIFER Additional Surgical Staff Unlicensed Facility Personnel 09/19/2024
MORALES, FERMIN ESTEBAN Designated Physician Medical Doctor 110395 01/17/2025
MORALES, FERMIN ESTEBAN Physician Medical Doctor 110395 09/07/2024
MUNOZ, DANNY RENE Anesthesia Provider Advanced Practice Registered Nurse 9311468 12/10/2024
OLIVA, MARCOS RAFAEL Anesthesia Provider Advanced Practice Registered Nurse 9426020 06/18/2024
ORTIZ, EVELYN Anesthesia Provider Advanced Practice Registered Nurse 9258699 04/01/2025
PEREZ BARROSO, AHMED Additional Surgical Staff Unlicensed Facility Personnel 09/19/2024
RIVAS, GABRY ANTONIO Anesthesia Provider Advanced Practice Registered Nurse 11000769 11/15/2024
SADIO, SONITA MARIE Physician Medical Doctor 166589 03/21/2025
SEPULVEDA-RUIZ, ARIEL Anesthesia Provider Advanced Practice Registered Nurse 3367602 02/10/2025
TAPANES, MARLENE Anesthesia Provider Advanced Practice Registered Nurse 9310289 04/03/2025
TAPANES, YOEL Anesthesia Provider Advanced Practice Registered Nurse 9347893 11/15/2024
TRASTOY, LESTER Additional Surgical Staff Unlicensed Facility Personnel 03/13/2024
URUETA, ESTHER CECILIA Anesthesia Provider Advanced Practice Registered Nurse 9229852 06/28/2024
YANEZ SOTO, FRANCISCO JAVIER Additional Surgical Staff Registered Nurse 9619856 06/17/2024

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/30/2025



* 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.