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GREGORY MICHAEL HENDERSHOT

License Number: AA465

Data As Of 9/28/2024

Profession
Anesthesiologist Assistant
License
AA465
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
08/28/2018
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 10/10/2018
ANDERSON, COREY LEE Supervising ME Osteopathic Physician 9979 10/10/2018
BUTLER, NATALIE VINCENT SUPERVISOR for AA Medical Doctor 112397 10/25/2020
BUTLER, NATALIE VINCENT Supervising ME Medical Doctor 112397 10/17/2018
CAMPS, MARIO ALEJANDRO Supervising ME Medical Doctor 80232 10/10/2018
CELIS, BROOKE BAKER Supervising ME Medical Doctor 123170 10/11/2018
FIER, ADAM RYAN DO SUPERVISOR for AA Osteopathic Physician 10956 10/10/2018
FISK, JEFFREY BRIGHAM Supervising ME Medical Doctor 85137 10/22/2018
GOODRICH, ANDREW WILLIAMS DO SUPERVISOR for AA Osteopathic Physician 7787 10/17/2018
GOTAY, RICARDO MANUEL Supervising ME Medical Doctor 85502 10/10/2018
GRANT, SANDRA E Supervising ME Medical Doctor 86879 10/10/2018
HALL, JEANNINE LOUISE Supervising ME Medical Doctor 72990 10/11/2018
HARRINGTON, JOHN J SUPERVISOR for AA Osteopathic Physician 4813 10/17/2018
JACOBSON, MATTHEW W Supervising ME Medical Doctor 46162 10/15/2018
KAUFMANN, MARC WALTER SUPERVISOR for AA Osteopathic Physician 14373 10/16/2018
LAWSON, ANTHONY JAMES Supervising ME Medical Doctor 131511 10/25/2018
LIDDY, MICHAEL MILES MD SUPERVISOR for AA Medical Doctor 110099 10/25/2020
LIDDY, MICHAEL MILES MD Supervising ME Medical Doctor 110099 10/10/2018
LIMA, LISA ANNE Supervising ME Medical Doctor 124857 11/06/2018
LINDSEY, JOHN EDMUND JR Supervising ME Medical Doctor 67077 10/15/2018
MAYBURY, EDWARD ALLEN JR SUPERVISOR for AA Medical Doctor 79595 10/25/2020
MAYBURY, EDWARD ALLEN JR Supervising ME Medical Doctor 79595 10/10/2018
MCGROARTY, JOHN Supervising ME Medical Doctor 131012 10/10/2018
NOVA, HUGO A SUPERVISOR for AA Medical Doctor 111882 10/25/2020
NOVA, HUGO A Supervising ME Medical Doctor 111882 10/10/2018
NOVO, ROBERT FRANK SUPERVISOR for AA Osteopathic Physician 11280 10/18/2018
PRESTON, WILLIAM LAURENCE MD SUPERVISOR for AA Medical Doctor 68478 10/25/2020
PRESTON, WILLIAM LAURENCE MD Supervising ME Medical Doctor 68478 10/12/2018
ROGERS, JONATHAN MATTHEW SUPERVISOR for AA Medical Doctor 99871 10/25/2020
SARTOR, JENNIFER MD Supervising ME Medical Doctor 97997 10/10/2018
SCHRADER, KEITH JOSEPH MD SUPERVISOR for AA Medical Doctor 48296 10/25/2020
SCHRADER, KEITH JOSEPH MD Supervising ME Medical Doctor 48296 10/18/2018
SHORE, JEFFREY MICHAEL SUPERVISOR for AA Medical Doctor 96836 10/25/2020
SHORE, JEFFREY MICHAEL Supervising ME Medical Doctor 96836 10/12/2018
VARADY, ADAM ERNO Supervising ME Medical Doctor 123215 10/11/2018
VONDERHEIDE, CHRISTOPHER FERD MD Supervising ME Medical Doctor 66725 10/12/2018
WAGNER, MICHAEL DONALD Supervising ME Medical Doctor 98355 10/16/2018
WEBB, OSCAR JET Supervising ME Medical Doctor 57984 10/10/2018
WOLSZCZAK, JEFFREY LYNN SUPERVISOR for AA Osteopathic Physician 9365 10/10/2018

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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.