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BROCK DANIEL BLANKENSHIP

License Number: AA395

Data As Of 9/28/2024

Profession
Anesthesiologist Assistant
License
AA395
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
06/28/2017
Address of Record
1301 RIVERPLACE BLVD
SUITE 2540
JACKSONVILLE, FL 32207
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BAGGETT, JASON JAMES D O SUPERVISOR for AA Osteopathic Physician 9652 01/01/2019
BAREFOOT, KATHERINE CAROLINE SUPERVISOR for AA Medical Doctor 154173 02/19/2024
BARRON, JAMES ROBERT SUPERVISOR for AA Medical Doctor 114878 02/19/2024
BENE, JESSICA SUPERVISOR for AA Osteopathic Physician 17668 02/19/2024
BENGALI, SHAYAN SUPERVISOR for AA Medical Doctor 136794 01/01/2019
BILKO, ANDREY F SUPERVISOR for AA Medical Doctor 144548 02/19/2024
BOGGS, RALPH BRIDGES SUPERVISOR for AA Medical Doctor 51778 01/01/2019
BOLANOS, JOSHUA SUPERVISOR for AA Medical Doctor 161030 02/19/2024
BOSWELL, BRUCE B SUPERVISOR for AA Osteopathic Physician 5143 01/01/2019
BRADY, TRICIA NICOLE SUPERVISOR for AA Medical Doctor 101435 01/01/2019
BURKE, KIM ELIZABETH SUPERVISOR for AA Osteopathic Physician 14367 01/01/2019
CAGNIART, PIERRE-ETIENNE CHARLES SUPERVISOR for AA Medical Doctor 155215 02/19/2024
CANTOR, DAVID ASHER SUPERVISOR for AA Medical Doctor 150549 02/19/2024
CARELLO, KATARI ANN SUPERVISOR for AA Medical Doctor 130865 01/01/2019
CATHALA ESBERARD, BEATRIZ SUPERVISOR for AA Medical Doctor 159929 02/19/2024
CHAPMAN, JAMES GERARD SUPERVISOR for AA Medical Doctor 44230 01/01/2019
CHEN, BAI XI SUPERVISOR for AA Medical Doctor 75461 01/01/2019
CONDE, JENNIFER FOUSHEE SUPERVISOR for AA Medical Doctor 109168 01/01/2019
CRUM, PAUL MILLER JR SUPERVISOR for AA Medical Doctor 73333 01/01/2019
DAVE, KRUPESH SUPERVISOR for AA Medical Doctor 153624 02/19/2024
DONOVAN, KEVIN LEO SUPERVISOR for AA Medical Doctor 78056 01/01/2019
DOVER, CLARE DALTON SUPERVISOR for AA Medical Doctor 118903 01/01/2019
DUDLEY, MICHAEL ERIC M D SUPERVISOR for AA Medical Doctor 104503 01/01/2019
EBENER, ROBERT VERN SUPERVISOR for AA Osteopathic Physician 9284 01/01/2019
FIASTRO, AMELIA THERESA WACK SUPERVISOR for AA Medical Doctor 133225 01/01/2019
FLANAGAN, JOHN CHRISTOPHER SUPERVISOR for AA Medical Doctor 89761 01/01/2019
GARCIA, RONDA JUNE SUPERVISOR for AA Medical Doctor 105342 02/19/2024
GILLIKIN, JACOB MARSHALL SUPERVISOR for AA Medical Doctor 128123 02/19/2024
HANES, MICHAEL CHRISTOPHER SUPERVISOR for AA Medical Doctor 121093 01/01/2019
KANE, CHRISTOPHER JOHN SUPERVISOR for AA Osteopathic Physician 10991 02/19/2024
KASPER, VINCENT PETER SUPERVISOR for AA Medical Doctor 145007 06/11/2020
KERR, JAMES KNOX III SUPERVISOR for AA Medical Doctor 63133 02/19/2024
KOEHLER, DAVID CRAIG SUPERVISOR for AA Medical Doctor 78081 02/19/2024
LEE, EDWARD MARTIN SUPERVISOR for AA Medical Doctor 63526 02/19/2024
LEWIS, ZACHARY SUPERVISOR for AA Osteopathic Physician 15943 05/15/2020
MORET, JASON ASCHER SUPERVISOR for AA Medical Doctor 89830 02/19/2024
OSHIKOYA, OLADAPO SUPERVISOR for AA Medical Doctor 149950 02/19/2024
PAK, SONG HYON SUPERVISOR for AA Medical Doctor 127200 01/01/2019
PONTE, ROBERT ANDREW SUPERVISOR for AA Medical Doctor 56797 02/19/2024
PREMO, NICOLE DANIELLE SUPERVISOR for AA Medical Doctor 155371 02/19/2024
RANDOLPH, BRAD PATRICK SUPERVISOR for AA Osteopathic Physician 20039 02/19/2024
ROSENBERG, LEE DAVID SUPERVISOR for AA Medical Doctor 63735 02/19/2024
RUFF, JACK ANDREW SUPERVISOR for AA Medical Doctor 128264 01/01/2019
SALOMONE, MATTHEW MICHAEL SUPERVISOR for AA Medical Doctor 95868 02/19/2024
SCOTT, JOHN DOUGLAS SUPERVISOR for AA Medical Doctor 64303 01/01/2019
SHEINBAUM, ETHAN JOSHUA SUPERVISOR for AA Medical Doctor 160952 02/19/2024
SMITH, WILLIAM THOMAS JR SUPERVISOR for AA Medical Doctor 62452 01/01/2019
STEVENSON, MATTHEW SANFORD SUPERVISOR for AA Medical Doctor 92883 01/01/2019
TUNSTILL, STEPHEN L SUPERVISOR for AA Medical Doctor 42516 01/01/2019
WEATHERWAX, JOHN B SUPERVISOR for AA Medical Doctor 108522 01/01/2019
WILLIAMS, BRADLEY GRAYBILL SUPERVISOR for AA Medical Doctor 82416 01/01/2019
YODER-NGUYEN, ANDREA RAE SUPERVISOR for AA Medical Doctor 151617 02/19/2024

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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.