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ERIC NICHOLAS FEIGENBAUM

License Number: AA368

Data As Of 9/28/2024

Profession
Anesthesiologist Assistant
License
AA368
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/28/2016
Address of Record
2627 West Eau Gailie Blvd
Suite 101
MELBOURNE, FL 32935
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ANDERSON, COREY LEE SUPERVISOR for AA Osteopathic Physician 9979 10/11/2017
ANDERSON, COREY LEE Supervising ME Osteopathic Physician 9979 12/23/2016
BUTLER, NATALIE VINCENT SUPERVISOR for AA Medical Doctor 112397 10/25/2020
BUTLER, NATALIE VINCENT Supervising ME Medical Doctor 112397 12/23/2016
CAMPS, MARIO ALEJANDRO Supervising ME Medical Doctor 80232 12/23/2016
CELIS, BROOKE BAKER Supervising ME Medical Doctor 123170 10/09/2018
FIER, ADAM RYAN DO SUPERVISOR for AA Osteopathic Physician 10956 10/11/2017
FIER, ADAM RYAN DO Supervising ME Osteopathic Physician 10956 12/23/2016
FISK, JEFFREY BRIGHAM Supervising ME Medical Doctor 85137 12/23/2016
GOODRICH, ANDREW WILLIAMS DO Supervising ME Osteopathic Physician 7787 12/23/2016
GOTAY, RICARDO MANUEL Supervising ME Medical Doctor 85502 12/23/2016
GRANT, SANDRA E Supervising ME Medical Doctor 86879 12/23/2016
HALL, JEANNINE LOUISE Supervising ME Medical Doctor 72990 11/28/2016
HARRINGTON, JOHN J Supervising ME Osteopathic Physician 4813 12/23/2016
JACOBSON, MATTHEW W Supervising ME Medical Doctor 46162 12/23/2016
KAUFMANN, MARC WALTER SUPERVISOR for AA Osteopathic Physician 14373 10/25/2020
KAUFMANN, MARC WALTER Supervising ME Osteopathic Physician 14373 07/12/2017
LAWSON, ANTHONY JAMES Supervising ME Medical Doctor 131511 07/12/2017
LIDDY, MICHAEL MILES MD SUPERVISOR for AA Medical Doctor 110099 10/25/2020
LIDDY, MICHAEL MILES MD Supervising ME Medical Doctor 110099 12/23/2016
LIMA, LISA ANNE Supervising ME Medical Doctor 124857 12/23/2016
LINDSEY, JOHN EDMUND JR Supervising ME Medical Doctor 67077 03/13/2017
MAYBURY, EDWARD ALLEN JR SUPERVISOR for AA Medical Doctor 79595 10/25/2020
MAYBURY, EDWARD ALLEN JR Supervising ME Medical Doctor 79595 12/23/2016
MCGROARTY, JOHN Supervising ME Medical Doctor 131012 07/12/2017
NOVA, HUGO A SUPERVISOR for AA Medical Doctor 111882 10/25/2020
NOVA, HUGO A Supervising ME Medical Doctor 111882 12/23/2016
NOVO, ROBERT FRANK SUPERVISOR for AA Osteopathic Physician 11280 10/25/2020
NOVO, ROBERT FRANK Supervising ME Osteopathic Physician 11280 12/23/2016
PRESTON, WILLIAM LAURENCE MD SUPERVISOR for AA Medical Doctor 68478 10/25/2020
PRESTON, WILLIAM LAURENCE MD Supervising ME Medical Doctor 68478 12/23/2016
ROGERS, JONATHAN MATTHEW SUPERVISOR for AA Medical Doctor 99871 10/25/2020
ROGERS, JONATHAN MATTHEW Supervising ME Medical Doctor 99871 12/23/2016
SARTOR, JENNIFER MD Supervising ME Medical Doctor 97997 12/23/2016
SCHRADER, KEITH JOSEPH MD SUPERVISOR for AA Medical Doctor 48296 10/25/2020
SCHRADER, KEITH JOSEPH MD Supervising ME Medical Doctor 48296 12/23/2016
SHORE, JEFFREY MICHAEL SUPERVISOR for AA Medical Doctor 96836 10/25/2020
SHORE, JEFFREY MICHAEL Supervising ME Medical Doctor 96836 12/23/2016
SIMMONS, KEVIN STEWART Supervising ME Medical Doctor 43526 12/23/2016
VARADY, ADAM ERNO Supervising ME Medical Doctor 123215 12/23/2016
VONDERHEIDE, CHRISTOPHER FERD MD Supervising ME Medical Doctor 66725 12/23/2016
WAGNER, MICHAEL DONALD Supervising ME Medical Doctor 98355 12/23/2016
WEBB, OSCAR JET Supervising ME Medical Doctor 57984 12/23/2016
WOLSZCZAK, JEFFREY LYNN Supervising ME Osteopathic Physician 9365 12/23/2016

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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 9/28/2024



* 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.