License Verification

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NICOLE LEA MENDOZA

License Number: AA388

Data As Of 11/16/2024

Profession
Anesthesiologist Assistant
License
AA388
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
06/15/2017
Address of Record
3201 S TAMIAMI TRAIL
SARASOTA, FL 34239
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AUSTIN, RUSSELL WILLIAM SUPERVISOR for AA Osteopathic Physician 7002 12/08/2017
BERG, RENATA J Supervising ME Medical Doctor 102125 08/01/2024
CHASE, CHARLES JOSEPH D O SUPERVISOR for AA Osteopathic Physician 5987 12/08/2017
DENNY, JOHN T Supervising ME Medical Doctor 142659 08/01/2024
DLUZNESKI, JOHN STEPHEN MD SUPERVISOR for AA Medical Doctor 47731 12/08/2017
FLORIO, KAYLA ENES SUPERVISOR for AA Medical Doctor 144409 12/08/2017
HARTENBACH, WILLIAM NORBERT Supervising ME Medical Doctor 56245 08/01/2024
HAUGE, LESTER NORMAN JR SUPERVISOR for AA Medical Doctor 78635 12/08/2017
KATZ, BENJAMIN SUPERVISOR for AA Medical Doctor 143808 12/08/2017
MUZZI, DONALD ANTHONY SUPERVISOR for AA Medical Doctor 60909 12/08/2017
MYRICK BREWER, CAROL J MD Supervising ME Medical Doctor 67348 08/01/2024
NGUYEN, NGOC THI SUPERVISOR for AA Medical Doctor 67875 12/08/2017
OPPENHEIMER, JOHN PAUL M D SUPERVISOR for AA Medical Doctor 118911 12/08/2017
PALMERI, SHAWN ROBERT Supervising ME Medical Doctor 139346 08/01/2024
POLLIZZI, ANTHONY MD Supervising ME Medical Doctor 55771 08/01/2024
ROWLEY, MICHAEL WILLIAM M D SUPERVISOR for AA Medical Doctor 108434 12/08/2017
RUST, DAVID G M D Supervising ME Medical Doctor 133226 08/01/2024
SILLART, DOUGLAS RICHARD Supervising ME Medical Doctor 144682 08/01/2024
SMITH, DANIEL P SUPERVISOR for AA Medical Doctor 98899 12/08/2017
SMITH, DANIEL P Supervising ME Medical Doctor 98899 08/01/2024
VAN FOSSEN, LARRY DOUGLAS Supervising ME Osteopathic Physician 18532 08/01/2024
WEITZNER, H CORY SCOTT SUPERVISOR for AA Medical Doctor 95455 12/08/2017

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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 11/16/2024



* 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.